It is estimated that 5 million people in the EU countries (1% of the population) are in the autism spectrum. ASC-Inclusion is a new tool that has been studied, designed and constantly evolving from a multidisciplinary team of prestigious Universities and Organizations in Europe. It is an online platform that helps children with autism disorders and their carers. The results of its use are particularly important since there is a significant improvement in the socialization of children with autism disorders, improved adaptive behavior at home and at school, improved emotional expression and emotional recognition. Its further development and implementation is expected to have major social and economic repercussions.
{"title":"Autism Spectrum Conditions (ASC)-Inclusion: an intervention tool for children with autism spectrum disorders (ASD)","authors":"V. Mougia, Theodora Antareli","doi":"10.24283/hjns.2019.3.2","DOIUrl":"https://doi.org/10.24283/hjns.2019.3.2","url":null,"abstract":"It is estimated that 5 million people in the EU countries (1% of the population) are in the autism spectrum. ASC-Inclusion is a new tool that has been studied, designed and constantly evolving from a multidisciplinary team of prestigious Universities and Organizations in Europe. It is an online platform that helps children with autism disorders and their carers. The results of its use are particularly important since there is a significant improvement in the socialization of children with autism disorders, improved adaptive behavior at home and at school, improved emotional expression and emotional recognition. Its further development and implementation is expected to have major social and economic repercussions.","PeriodicalId":126636,"journal":{"name":"Hellenic Journal of Nursing Science","volume":"50 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120945435","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}
Pub Date : 2019-07-22DOI: 10.24283/HJNS.20192.13-14
George Elesnitsalis, I. Amiridis, D. Patikas, Ioanna Vekili, Maria Vourvou
Introduction: Polyneuromyopathy constitutes a common complication in critically ill patients of the Intensive Care Unit (ICU) and in the last few years it appears to be identified as a syndrome detectable in the limbs and respiratory muscles. It is associated with the difficulties during weaning from mechanical ventilation. Aim: The present study investigates the reflective reaction of the soleus muscle following an electrical stimulation of the tibial nerve in intubated critically ill patients hospitalized in ICU with no medical history prior to their admission. Methods: Thirteen (13) patients who had been hospitalized for more than five (5) days and had a high APACHE II score (>15) and 13 age-matched control subjects were asked to participate in the present study on a volunteer basis. During the study, as reflective response parameters the range of the H-reflex and M-wave of the soleus muscle, as well as the conduction velocity of the tibial nerve, after electro-stimulation of the tibial nerve at the popliteal-fossa level, were assessed Results: Statistical analysis revealed significantly lower values in the ICU patients compared to healthy controls in both H-reflex range (p<0,049) and the M-wave range (p<0,041), as well as conduction velocity (p<0,001) of the tibial nerve. Conclusions: It is concluded that the reflective response of the soleus muscle as well as the tibial nerve’s conduction velocity are affected in critically ill patients hospitalized in ICU. The study of the above neurological parameters can provide further insights into the establishment and progress of polyneuromyopathy of critically ill patients in ICUs.
{"title":"Prolonged muscle inactivity and evaluation of peripheral neuromuscular features in patients hospitalized in Intensive Care Units","authors":"George Elesnitsalis, I. Amiridis, D. Patikas, Ioanna Vekili, Maria Vourvou","doi":"10.24283/HJNS.20192.13-14","DOIUrl":"https://doi.org/10.24283/HJNS.20192.13-14","url":null,"abstract":"Introduction: Polyneuromyopathy constitutes a common complication in critically ill patients of the Intensive Care Unit (ICU) and in the last few years it appears to be identified as a syndrome detectable in the limbs and respiratory muscles. It is associated with the difficulties during weaning from mechanical ventilation.\u0000Aim: The present study investigates the reflective reaction of the soleus muscle following an electrical stimulation of the tibial nerve in intubated critically ill patients hospitalized in ICU with no medical history prior to their admission. \u0000Methods: Thirteen (13) patients who had been hospitalized for more than five (5) days and had a high APACHE II score (>15) and 13 age-matched control subjects were asked to participate in the present study on a volunteer basis. During the study, as reflective response parameters the range of the H-reflex and M-wave of the soleus muscle, as well as the conduction velocity of the tibial nerve, after electro-stimulation of the tibial nerve at the popliteal-fossa level, were assessed\u0000Results: Statistical analysis revealed significantly lower values in the ICU patients compared to healthy controls in both H-reflex range (p<0,049) and the M-wave range (p<0,041), as well as conduction velocity (p<0,001) of the tibial nerve. \u0000Conclusions: It is concluded that the reflective response of the soleus muscle as well as the tibial nerve’s conduction velocity are affected in critically ill patients hospitalized in ICU. The study of the above neurological parameters can provide further insights into the establishment and progress of polyneuromyopathy of critically ill patients in ICUs.","PeriodicalId":126636,"journal":{"name":"Hellenic Journal of Nursing Science","volume":"108 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115858055","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}
A lot of women choose the immediate breast reconstruction after mastectomy. The most common method is breast reconstruction using tissue expanders. Women's way of life and the economic crisis have created the need for adopting enhanced recovery after surgery (ERAS) protocols and early hospital discharge. The present study aims at informing perioperative nurses about the ERAS protocols and encouraging their implementation. ERAS protocols in breast cancer patients undergoing immediate post-mastectomy breast reconstruction include a combination of evidence-based interoperative interventions with the participation of surgeons, anesthetists, nurses, physiotherapists, and dietitians as members of the multidisciplinary team. This is a multifactorial approach to postoperative rehabilitation and care of the surgical patient. ERAS protocols are easy to apply, reduce morbidity, perioperative anxiety, postoperative pain, postoperative complications and hospitalization. In addition, they reduce the cost of treatment and hospitalization. The patient's approach to breast cancer following an ERAS protocol is divided into three phases: pre-surgical, intraoperative and post-operative. It starts before the patient’s hospitalization and continues until they are discharged, requiring active participation throughout the process. The total average hospitalization for post-mastectomy rehabilitation decreased from 3.6 days, prior to ERAS implementation, to 0 (discharging the same day) to 1.2 days post-surgery, releasing 30% of the beds. In conclusion, the ERAS protocols, following evidence-based perioperative care, promote the rapid recovery of patients aiming at reducing post-operative stress and its effects.
{"title":"Enhanced Recovery after Surgery (ERAS) protocols in breast cancer patients undergoing post-mastectomy breast reconstruction with tissue expander","authors":"M. Bourazani, M. Kelesi, G. Fasoi","doi":"10.24283/HJNS.20192.8-9","DOIUrl":"https://doi.org/10.24283/HJNS.20192.8-9","url":null,"abstract":"A lot of women choose the immediate breast reconstruction after mastectomy. The most common method is breast reconstruction using tissue expanders. Women's way of life and the economic crisis have created the need for adopting enhanced recovery after surgery (ERAS) protocols and early hospital discharge. The present study aims at informing perioperative nurses about the ERAS protocols and encouraging their implementation. ERAS protocols in breast cancer patients undergoing immediate post-mastectomy breast reconstruction include a combination of evidence-based interoperative interventions with the participation of surgeons, anesthetists, nurses, physiotherapists, and dietitians as members of the multidisciplinary team. This is a multifactorial approach to postoperative rehabilitation and care of the surgical patient. ERAS protocols are easy to apply, reduce morbidity, perioperative anxiety, postoperative pain, postoperative complications and hospitalization. In addition, they reduce the cost of treatment and hospitalization. The patient's approach to breast cancer following an ERAS protocol is divided into three phases: pre-surgical, intraoperative and post-operative. It starts before the patient’s hospitalization and continues until they are discharged, requiring active participation throughout the process. The total average hospitalization for post-mastectomy rehabilitation decreased from 3.6 days, prior to ERAS implementation, to 0 (discharging the same day) to 1.2 days post-surgery, releasing 30% of the beds. In conclusion, the ERAS protocols, following evidence-based perioperative care, promote the rapid recovery of patients aiming at reducing post-operative stress and its effects.","PeriodicalId":126636,"journal":{"name":"Hellenic Journal of Nursing Science","volume":"58 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125458189","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}
Pub Date : 2019-07-22DOI: 10.24283/HJNS.20192.9-10
Kosmas Emmanouilidis, G. Fasoi, E. Vlachou, O. Govina, Anna Kavga, Ioannis Kalemikerakis
Introduction: Lymphedema is a frequent complication in women after mastectomy. It affects the patient's quality of life and functionality. The aim of this systematic review was to investigate and report appropriate, and evidence-based, guidelines for the prevention and treatment of secondary lymphedema of the upper extremity after mastectomy. Methodology: Relevant Greek and international literature was searched in the electronic databases PubMed, Cinahl, Sciverse, Scopus and Proquest by using keywords and time restriction. Results: Thirty-six papers were retrieved, of which 29 fitted the study’s inclusion criteria. These papers were addressing five categories of post-surgery interventions: Manual Lymphatic Drainage (MLD), Pneumatic Compression Devices (PCDs), physiotherapy exercises, weight lifting and the use of low frequency laser. MLD is a conventional method with controversial therapeutic effects. Similar are the effects of PCDs, which are predominantly used by patients even at home setting. Physiotherapy exercises are indicated to prevent lymphedema immediately after surgery, while weight lifting does not seem to have a negative effect despite current beliefs. Alternative treatments such as hydrotherapy, yoga, and low laser treatment are under investigation. Standard therapeutic approach includes Complete Decongestive Therapy (CDT), i.e. the combination of Manual Lymph Drainage (MLD), Pneumatic Compression Devices (PCDs), skin care, compression bandages and physiotherapy exercises. Conclusion: Complete Decongestive Therapy (CDT) is the basis of therapeutic interventions with the remaining methods having a complementary role. However, the effectiveness of interventions is not well documented and more research is needed.
{"title":"Prevention and conservative treatment of upper limb secondary lymphedema after mastectomy","authors":"Kosmas Emmanouilidis, G. Fasoi, E. Vlachou, O. Govina, Anna Kavga, Ioannis Kalemikerakis","doi":"10.24283/HJNS.20192.9-10","DOIUrl":"https://doi.org/10.24283/HJNS.20192.9-10","url":null,"abstract":"Introduction: Lymphedema is a frequent complication in women after mastectomy. It affects the patient's quality of life and functionality. The aim of this systematic review was to investigate and report appropriate, and evidence-based, guidelines for the prevention and treatment of secondary lymphedema of the upper extremity after mastectomy. \u0000Methodology: Relevant Greek and international literature was searched in the electronic databases PubMed, Cinahl, Sciverse, Scopus and Proquest by using keywords and time restriction.\u0000Results: Thirty-six papers were retrieved, of which 29 fitted the study’s inclusion criteria. These papers were addressing five categories of post-surgery interventions: Manual Lymphatic Drainage (MLD), Pneumatic Compression Devices (PCDs), physiotherapy exercises, weight lifting and the use of low frequency laser. MLD is a conventional method with controversial therapeutic effects. Similar are the effects of PCDs, which are predominantly used by patients even at home setting. Physiotherapy exercises are indicated to prevent lymphedema immediately after surgery, while weight lifting does not seem to have a negative effect despite current beliefs. Alternative treatments such as hydrotherapy, yoga, and low laser treatment are under investigation. Standard therapeutic approach includes Complete Decongestive Therapy (CDT), i.e. the combination of Manual Lymph Drainage (MLD), Pneumatic Compression Devices (PCDs), skin care, compression bandages and physiotherapy exercises.\u0000Conclusion: Complete Decongestive Therapy (CDT) is the basis of therapeutic interventions with the remaining methods having a complementary role. However, the effectiveness of interventions is not well documented and more research is needed.","PeriodicalId":126636,"journal":{"name":"Hellenic Journal of Nursing Science","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121115252","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}
Alexandra-Maria Kazala, V. Karagianni, George Grammatikas
Sleep disorders have reached epidemic rates in the modern world. It is important to note that they can affect children as well as adults. Sleep is of the utmost importance for the maintenance of body homeostasis. Many disease processes affecting sleep have been associated with numerous symptoms, including cognitive impairment, fatigue as well as a wide range of behavioral, hormonal and metabolic derangements. Sleep disorders in childhood can be classified by age of incidence (in infants, toddlers, school-age children or adolescents) and by the exact nature of the symptoms. They are classified in insomnias, hypersomnias, parasomnias, circadian rhythm disorders and respiratory disorders which affect sleep. Parasomnias are the most common sleep disorders in toddlers, with night terrors, nightmares and sleepwalking being the most common. Respiratory disorders are the most important in older children, especially obstructive sleep apnea syndrome. All sleep disorders are clinically manifested with symptoms of sleep deprivation. Their management always involves improvement of sleep hygiene, though in some cases (such as obstructive sleep apnea) specific medical treatment is also available and warranted. A three-way relationship of trust, compassion and cooperation between child, family and healthcare professional is a prerequisite for the effective management of childhood sleep disorders. Nursing staff are the main factor cultivating that relationship in the context of inpatient care.
{"title":"Sleep disorders in childhood","authors":"Alexandra-Maria Kazala, V. Karagianni, George Grammatikas","doi":"10.24283/HJNS.20192.6-7","DOIUrl":"https://doi.org/10.24283/HJNS.20192.6-7","url":null,"abstract":"Sleep disorders have reached epidemic rates in the modern world. It is important to note that they can affect children as well as adults. Sleep is of the utmost importance for the maintenance of body homeostasis. Many disease processes affecting sleep have been associated with numerous symptoms, including cognitive impairment, fatigue as well as a wide range of behavioral, hormonal and metabolic derangements. Sleep disorders in childhood can be classified by age of incidence (in infants, toddlers, school-age children or adolescents) and by the exact nature of the symptoms. They are classified in insomnias, hypersomnias, parasomnias, circadian rhythm disorders and respiratory disorders which affect sleep. Parasomnias are the most common sleep disorders in toddlers, with night terrors, nightmares and sleepwalking being the most common. Respiratory disorders are the most important in older children, especially obstructive sleep apnea syndrome. All sleep disorders are clinically manifested with symptoms of sleep deprivation. Their management always involves improvement of sleep hygiene, though in some cases (such as obstructive sleep apnea) specific medical treatment is also available and warranted. A three-way relationship of trust, compassion and cooperation between child, family and healthcare professional is a prerequisite for the effective management of childhood sleep disorders. Nursing staff are the main factor cultivating that relationship in the context of inpatient care.","PeriodicalId":126636,"journal":{"name":"Hellenic Journal of Nursing Science","volume":"269 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117036209","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}
Pub Date : 2019-07-22DOI: 10.24283/HJNS.20192.11-12
P. Dimou, M. Kourakos, N. Margari, E. Kamba, G. Fasoi, M. Kelesi
Introduction: Despite the recent advances in ulcer treatment and management, and the immense advancements in technology, pressure ulcers are still a major challenge for nurses and doctors who are responsible for their management. Aim: The aim of the present study was to investigate the knowledge, practices and attitudes of nursing staff in a large public hospital regarding prevention and management of pressure ulcers. Methods: This study is a research cross-sectional study which involved all nursing staff (nurses and nursing assistants) working in medical and surgical wards of the General Hospital of Nikaia “St Panteleimon”. The questionnaire used for data collection has been developed by Gouda et al. (2014). The reliability of the questionnaire was high (Cronbach a=0.714) and the response rate was 76.7%. Statistical analysis was performed with the SPSS for Windows (21.00) statistical software. Results: The sample of the study consisted of 92 nurses aged 40.5(± 7.9) years. A total of 41 (44.6%) participants were nurse assistants, 33 (35.9%) had graduate from applied science universities, 14 (15.2%) had postgraduate degree and 4 (4.3%) had a university degree. The participants’ working experience was 15.1(± 9.1) years, while 45 (48.9%) nurses were working in surgical departments and 47 (51.1%) in medical ones. Of the total sample, twelve (13.3%) nurses have claimed that training seminars on prevention and management of pressure ulcers have been organized in the hospital that they are working. In a total of 27 questions, the correct answers given by the respondents were 18.59(±2.8) or 68.6% (±10.4%) with a minimum of 12 (44.4%) and a maximum of 25 (92.6%) correct answers. Participants with a higher level of education and those who had attended educational seminars [18.7(±2.8) versus 17(±2.6)] answered significantly more questions than those with a lower level of education (p <0.05). Conclusions: The nursing staff working in the medical and surgical wards had moderate levels of knowledge and high level of knowledge for the definition and classification of pressure ulcers. It is proposed that clinical protocols be drawn up concerning the staging, prevention and management of pressure ulcers, as well as a more organized continuing training of nursing staff.
导言:尽管最近溃疡治疗和管理取得了进展，技术也取得了巨大进步，但压疮仍然是负责其管理的护士和医生面临的主要挑战。目的:调查某大型公立医院护理人员对压疮预防和管理的知识、做法和态度。方法:本研究采用横断面研究方法，对圣潘泰莱蒙尼基亚综合医院内科和外科病房的所有护理人员(护士和护工)进行研究。用于数据收集的问卷由Gouda et al.(2014)开发。问卷信度高(Cronbach a=0.714)，应答率为76.7%。采用SPSS for Windows(21.00)统计软件进行统计学分析。结果:本组共92名护士，年龄40.5(±7.9)岁。共有41人(44.6%)为护理助理，33人(35.9%)为应用科学类大学毕业生，14人(15.2%)为研究生学历，4人(4.3%)为大学学历。受访护士的工作经验为15.1(±9.1)年，其中外科护士45人(48.9%)，内科护士47人(51.1%)。在总样本中，12名(13.3%)护士声称在其工作的医院组织了关于预防和管理压疮的培训研讨会。在总共27个问题中，被调查者的正确率为18.59(±2.8)或68.6%(±10.4%)，其中最少12(44.4%)，最多25(92.6%)。受教育程度较高和参加过教育研讨会的参与者[18.7(±2.8)比17(±2.6)]回答的问题明显多于受教育程度较低的参与者(p <0.05)。结论:内科和外科病房护理人员对压疮的定义和分类的了解程度中等，对压疮的了解程度较高。建议制定有关压疮的分期、预防和管理的临床方案，并对护理人员进行更有组织的持续培训。
{"title":"Nursing personnel’s knowledge regarding pressure sore management in a public hospital’s medical and surgical wards","authors":"P. Dimou, M. Kourakos, N. Margari, E. Kamba, G. Fasoi, M. Kelesi","doi":"10.24283/HJNS.20192.11-12","DOIUrl":"https://doi.org/10.24283/HJNS.20192.11-12","url":null,"abstract":"Introduction: Despite the recent advances in ulcer treatment and management, and the immense advancements in technology, pressure ulcers are still a major challenge for nurses and doctors who are responsible for their management.\u0000Aim: The aim of the present study was to investigate the knowledge, practices and attitudes of nursing staff in a large public hospital regarding prevention and management of pressure ulcers.\u0000Methods: This study is a research cross-sectional study which involved all nursing staff (nurses and nursing assistants) working in medical and surgical wards of the General Hospital of Nikaia “St Panteleimon”. The questionnaire used for data collection has been developed by Gouda et al. (2014). The reliability of the questionnaire was high (Cronbach a=0.714) and the response rate was 76.7%. Statistical analysis was performed with the SPSS for Windows (21.00) statistical software.\u0000Results: The sample of the study consisted of 92 nurses aged 40.5(± 7.9) years. A total of 41 (44.6%) participants were nurse assistants, 33 (35.9%) had graduate from applied science universities, 14 (15.2%) had postgraduate degree and 4 (4.3%) had a university degree. The participants’ working experience was 15.1(± 9.1) years, while 45 (48.9%) nurses were working in surgical departments and 47 (51.1%) in medical ones. Of the total sample, twelve (13.3%) nurses have claimed that training seminars on prevention and management of pressure ulcers have been organized in the hospital that they are working. In a total of 27 questions, the correct answers given by the respondents were 18.59(±2.8) or 68.6% (±10.4%) with a minimum of 12 (44.4%) and a maximum of 25 (92.6%) correct answers. Participants with a higher level of education and those who had attended educational seminars [18.7(±2.8) versus 17(±2.6)] answered significantly more questions than those with a lower level of education (p <0.05).\u0000Conclusions: The nursing staff working in the medical and surgical wards had moderate levels of knowledge and high level of knowledge for the definition and classification of pressure ulcers. It is proposed that clinical protocols be drawn up concerning the staging, prevention and management of pressure ulcers, as well as a more organized continuing training of nursing staff.","PeriodicalId":126636,"journal":{"name":"Hellenic Journal of Nursing Science","volume":"93 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125175763","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}
{"title":"The integration of high fidelity simulation as a teaching method in modern nursing\u0000curriculums","authors":"Michael Zografakis Sfakianakis","doi":"10.24283/HJNS.20192.3-5","DOIUrl":"https://doi.org/10.24283/HJNS.20192.3-5","url":null,"abstract":"","PeriodicalId":126636,"journal":{"name":"Hellenic Journal of Nursing Science","volume":"119 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124097176","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}
Efrosini Papadopoulou, E. Kamba, A. Stavropoulou, M. Kelesi
Introduction: Although there are plenty of guidelines and protocols for clinical practice, the implementation, by healthcare professionals, of evidence-based practice (EBP) is not quite widespread in clinical practice. Evidence-based practice is related with improved patient outcomes and cost-effective care. The purpose of this study was to investigate the nurses’s views regarding the implementation of EBP in clinical practice. Methods: This is a systematic review. The literature review was conducted in Pubmed database with specific key-words and it consisted of last five years publications in English or Greek language. Initially 417 articles were found, of which ten, full text, clinical and multicentered studies, meta-analysis and comparison studies were finally selected. Results: Almost half of the nurses knew about EBP, had a positive attitude, and were keen to increasing their knowledge to follow the new trends in clinical practice. Nurses are less familiar with EBP, but argued that it is useful in clinical practice eventhough they lack the knowledge to implement it. Although most nurses knew what EBP was, they were less confident about their own knowledge and skills required. EBP needing advanced scientific knowledge and skills have been less frequently implemented. Lack of time, lack of skills required to search for information, processing and implementation of information, lack of administrative support and the lack of recognition of nursing profession were found to be the main obstacles in applying EBP in clinical practice. Younger nurses, those with a higher level of education, who held an administrative position and a full-time job had stronger views regarding the extent to which clinical nursing practice can be based on EBP. Conclusions: All nurses need to be properly educated and trained in order to be able to evaluate research and apply evidence-based changes in clinical practice. The introduction of evidence-based practice into nursing curricula, as well as its systematic integration into everyday clinical practice, will greatly enhance nurses' conviction.
{"title":"Looking into the nurses’ views regarding implementation of Evidence-Based Nursing in clinical practice","authors":"Efrosini Papadopoulou, E. Kamba, A. Stavropoulou, M. Kelesi","doi":"10.24283/hjns.2019.3.3","DOIUrl":"https://doi.org/10.24283/hjns.2019.3.3","url":null,"abstract":"Introduction: Although there are plenty of guidelines and protocols for clinical practice, the implementation, by healthcare professionals, of evidence-based practice (EBP) is not quite widespread in clinical practice. Evidence-based practice is related with improved patient outcomes and cost-effective care.\u0000The purpose of this study was to investigate the nurses’s views regarding the implementation of EBP in clinical practice.\u0000Methods: This is a systematic review. The literature review was conducted in Pubmed database with specific key-words and it consisted of last five years publications in English or Greek language. Initially 417 articles were found, of which ten, full text, clinical and multicentered studies, meta-analysis and comparison studies were finally selected.\u0000Results: Almost half of the nurses knew about EBP, had a positive attitude, and were keen to increasing their knowledge to follow the new trends in clinical practice. Nurses are less familiar with EBP, but argued that it is useful in clinical practice eventhough they lack the knowledge to implement it. Although most nurses knew what EBP was, they were less confident about their own knowledge and skills required. EBP needing advanced scientific knowledge and skills have been less frequently implemented. Lack of time, lack of skills required to search for information, processing and implementation of information, lack of administrative support and the lack of recognition of nursing profession were found to be the main obstacles in applying EBP in clinical practice. Younger nurses, those with a higher level of education, who held an administrative position and a full-time job had stronger views regarding the extent to which clinical nursing practice can be based on EBP.\u0000Conclusions: All nurses need to be properly educated and trained in order to be able to evaluate research and apply evidence-based changes in clinical practice. The introduction of evidence-based practice into nursing curricula, as well as its systematic integration into everyday clinical practice, will greatly enhance nurses' conviction.","PeriodicalId":126636,"journal":{"name":"Hellenic Journal of Nursing Science","volume":"76 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127680317","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}
Maria Moudatsou, G. Kritsotakis, A. Koutis, A. Alegakis, Evangelia Panagoulopoulou, A. Philalithis
Introduction: Self-reporting is a major and, in many cases, the only feasible method to use in cancer screening research. However, its validity has been questioned and numerous studies indicate that women over-report their participation in preventive Pap-test and mammography screenings. Aim: The objective of this study was to determine whether individuals report in the same way their Pap-test and mammography screening behaviors when the interviews are conducted by researchers of different professions, in this case a social worker and a general practitioner. Methods: Two studies assessing adherence to cervical and breast cancer screening guidelines were conducted during late 2006 - early 2007 in the same 114 women in Crete, Greece. Kappa coefficient was used to measure the agreement of participants’ answers to the same questions between the two interviewers. Results: Only 32 out of 90 (35,5%) of the women replied that ‘have had at least one’ gynecological exam respectively in both studies (Kappa=0.189, p<0.001). Agreement was also weak (Kappa=0.386 and 0.235) for self-reported mammography and Pap smear tests in the last 6 years, respectively. There were no significant differences in major demographic characteristics between women who provided, or not, the same answers in both interviewers, apart from the self-reported health status (p=0.032). Conclusions: Women overestimated their self-reported adherence to cancer screening guidelines when the interviewer was a doctor once their responses were matched to those given to a social worker. The professional identities of the researchers that perform the data collection should be made explicit to make comparison across studies more accurate.
{"title":"Comparison of self-reported adherence to cervical and breast cancer screening guidelines in relation to the researcher’s profession.","authors":"Maria Moudatsou, G. Kritsotakis, A. Koutis, A. Alegakis, Evangelia Panagoulopoulou, A. Philalithis","doi":"10.24283/hjns.2019.3.6","DOIUrl":"https://doi.org/10.24283/hjns.2019.3.6","url":null,"abstract":"Introduction: Self-reporting is a major and, in many cases, the only feasible method to use in cancer screening research. However, its validity has been questioned and numerous studies indicate that women over-report their participation in preventive Pap-test and mammography screenings.\u0000Aim: The objective of this study was to determine whether individuals report in the same way their Pap-test and mammography screening behaviors when the interviews are conducted by researchers of different professions, in this case a social worker and a general practitioner.\u0000Methods: Two studies assessing adherence to cervical and breast cancer screening guidelines were conducted during late 2006 - early 2007 in the same 114 women in Crete, Greece. Kappa coefficient was used to measure the agreement of participants’ answers to the same questions between the two interviewers.\u0000Results: Only 32 out of 90 (35,5%) of the women replied that ‘have had at least one’ gynecological exam respectively in both studies (Kappa=0.189, p<0.001). Agreement was also weak (Kappa=0.386 and 0.235) for self-reported mammography and Pap smear tests in the last 6 years, respectively. There were no significant differences in major demographic characteristics between women who provided, or not, the same answers in both interviewers, apart from the self-reported health status (p=0.032).\u0000Conclusions: Women overestimated their self-reported adherence to cancer screening guidelines when the interviewer was a doctor once their responses were matched to those given to a social worker. The professional identities of the researchers that perform the data collection should be made explicit to make comparison across studies more accurate.","PeriodicalId":126636,"journal":{"name":"Hellenic Journal of Nursing Science","volume":"76 4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126031015","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}
Type 2 Diabetes Mellitus is a global health issue which is associated with high risk for microvascular and macrovascular complications. Its treatment is based on the co-operation of an interdisciplinary healthcare team which helps the patient to combine the suitable medication with balanced lifestyle habits. In recent years, emphasis has been given to complementary to medication therapies. The purpose of this review is to present complementary to medication therapies for type 2 diabetes mellitus. In order to study this field a literature review in the databases such as Pubmed, Google Scholar was conducted during the period 2000-2018. Specifically, important is the role of micronutrients, such as: vitamin B3, vitamin E, magnesium for both prevention and treatment. According to traditional Chinese medicine, it is beneficial to consume specific plants and herbs, while the way in which they are prepared and consumed is important. Yoga also has a beneficial effect on patient's glycemic control and mental wellbeing. Acupuncture may be used as a supplemental therapy for type 2 diabetes mellitus, as it appears to enhance insulin synthesis. Massage is also helpful as it reduces heart rate and stress by the relaxation that causes. Hydrotherapy, chromotherapy and aromatherapy also appear to contribute to type 2 Diabetes Mellitus treatment by eliminating the toxins, triggering hormonal processes and reducing stress. It is remarkable that the use of alternative therapies is compatible with the use of conventional medicine. Their combination may provide an effective-holistic treatment for diabetic patients. This data should always be taken into consideration by healthcare professionals.
{"title":"Alternative and complementary to medication therapies for type 2 Diabetes Mellitus","authors":"M. Katsa, Basiliki Adamopoulou, A. P. Gil","doi":"10.24283/hjns.2019.3.1","DOIUrl":"https://doi.org/10.24283/hjns.2019.3.1","url":null,"abstract":"Type 2 Diabetes Mellitus is a global health issue which is associated with high risk for microvascular and macrovascular complications. Its treatment is based on the co-operation of an interdisciplinary healthcare team which helps the patient to combine the suitable medication with balanced lifestyle habits. In recent years, emphasis has been given to complementary to medication therapies. The purpose of this review is to present complementary to medication therapies for type 2 diabetes mellitus. In order to study this field a literature review in the databases such as Pubmed, Google Scholar was conducted during the period 2000-2018. Specifically, important is the role of micronutrients, such as: vitamin B3, vitamin E, magnesium for both prevention and treatment. According to traditional Chinese medicine, it is beneficial to consume specific plants and herbs, while the way in which they are prepared and consumed is important. Yoga also has a beneficial effect on patient's glycemic control and mental wellbeing. Acupuncture may be used as a supplemental therapy for type 2 diabetes mellitus, as it appears to enhance insulin synthesis. Massage is also helpful as it reduces heart rate and stress by the relaxation that causes. Hydrotherapy, chromotherapy and aromatherapy also appear to contribute to type 2 Diabetes Mellitus treatment by eliminating the toxins, triggering hormonal processes and reducing stress. It is remarkable that the use of alternative therapies is compatible with the use of conventional medicine. Their combination may provide an effective-holistic treatment for diabetic patients. This data should always be taken into consideration by healthcare professionals.","PeriodicalId":126636,"journal":{"name":"Hellenic Journal of Nursing Science","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122434042","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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