ABSTRACT
Objectives: The purpose of this paper is to present a theoretical model of the causal factors and consequences of burnout among pediatric nurses. Method(s): The significant results of selected four studies on pediatric nurse were integrated to build a comprehensive theoretical model on burnout among pediatric nurses. The four studies involved in this study have used the same convenient sample of 225 pediatric nurses from nine Jordanian hospitals. The selected sample of pediatric nurses answered self-reported questionnaires including the Copenhagen burnout inventory, the abbreviated form of the world health organization quality of life survey (WHOQOL-BREF),nurse-perceived patient adverse events, in addition to questions about demographic traits, intent to quit, and job satisfaction. Result(s): The suggested theoretical model is an integration of the results of empirical research related to pediatric nurses' burnout, quality of life, perceived adverse events, job satisfaction, social support, Compassion Satisfaction - Compassion Fatigue model, and the empowerment model. Conclusion(s): The proposed model might be suitable in directing future studies discovering scientific gaps about burnout, quality of life, job satisfaction, social support, and perceived adverse events among pediatric nurses during and after the COVID-19 pandemic. Also, this model will provide an inclusive theoretical framework for future studies examining nurses' burnout. Copyright © 2022
ABSTRACT
Objectives: This study aims to investigate the diagnosis and medical delay among lung cancer patients, furthermore, the involvement of the SARS-CoV-2 pandemic in diagnostic delay. Method(s): The retrospective study was performed in Pulmonology Department at Fejer County University Teaching Hospital in Hungary, between January 1, 2019 and December 31, 2020. We analysed the data of patients with primary lung cancer and changes in the diagnostic and medical delay time (n=102). Descriptive statistical analyses were applied (mean, standard deviation, absolute and relative frequency). Result(s): The average age is 68 years. 44.1% of patients were admitted to the institution from lung care, 12.7% from the emergency department and 43.1% from other providers. The mean diagnostic delay was 89.8+/-47.9 days in the two years. The time from first appointment to the chest CT was 21.42+/-28.08 days. On average, 21.93+/-25.1 days elapsed from CT to bronchoscopy. On average 35.79+/-29.2 days elapsed between oncoteam consultation and initiation of treatment. For those requiring PET/CT, the total diagnostic time increased from 69.7 days to 119.6 days (p<0.001). The total diagnostic time of patients receiving chemotherapy (22.9 days) was significantly lower compared to both patients receiving surgery (50.9 days) and those receiving radiotherapy (101.3 days) (p<0.001). In 2020, the number of primary lung care appointments decreased significantly, from 58% to 31% of all primary care visits, while the proportion of primary appointments in other care settings increased significantly from 2019 to 2020, from 28% to 58% (p=0.008). No significant difference was observed in the mean of the total diagnostic delay times (p=0.273), it was 83.8+/-47.9 days in 2019 and then 94.7+/- 47.8 days. Conclusion(s): Reducing the therapeutic delay - which constitutes a substantial part of the total diagnostic period, is a realistic goal and should be targeted. Copyright © 2022
ABSTRACT
Objectives: In general, the demand for medical tourism is influenced by several factors. The first is an aging population with a growing health problem and discretionary income and leisure. The second is changes in health behaviours that focus on disease prevention. Research seeks the answer to the changes in the demand for medical tourism in recent years in health spas. Method(s): We conducted secondary research, based on official data of the Hungarian Central Statistical Office. We examined the types of baths, the passenger traffic of the baths, the services used with National Health Insurance Fund Administration (NHIFA) support, the turnover of the baths Due to the Covid-19 pandemic, data for the year 2020 were not taken into account, so we are examining the period between 2012 and 2019 for health spas in Hungary. Result(s): During the period under review, between 2012 and 2019 the demand of spas showed an increase of 15 %, which was 6.6 million people. The number of visitors to the spas increased by an average of 945,000 per year, which means an average increase of 2.5 %. 92.6 % of spa visitors used the services without NHIFA reimbursement in 2012, which increased to 94.7 % by 2019, an annual average increase of 0.3 %. In connection with the turnover of the baths, there is no data for years 2012 and 2013, in the period between 2014-2019, it increased by 56.31 million HUF, an average increase of 11.26 million HUF per year. Conclusion(s): The continuous development of health spas resulted in the growth of spa favourites in Hungary. The increase in the number of spa favourites would mean to increase the scope of the NHIFA supported treatments and the degree of subsidies, which consists of the aspirations and suggestions of the Hungarian Baths Association. Copyright © 2022
ABSTRACT
The aim of our study is to analyse the participation indicators of colorectal cancer screening between 2008-2021. Data derived from the nationwide financing database of the Hungarian National Health Insurance Fund Management. We analysed both diagnostic and screening examinations. According to our results, the screening rate was low, varying between 5.1-6.8% in the years examined. Between 2008 and 2019, the number of participating patients increased slightly. The highest number of patients can be observed in 2019 (178,568 people). In 2020 and 2021, we see a significant decrease, which is a consequence of the COVID-19 pandemic. In the number of patients of the entire examined period (2,233,963 people, 938,223 men, 1,295,740 women), the largest proportion was fecal blood detection by immunochemical method (OENO code: 22631). In 2021, at the county level, the highest number of patients can be seen in Csongrad-Csanad county (994 patients/10,000 people), and the least in Bekes county (218 patients/10,000 people). The participation rate of women is higher than that of men in all counties. Participation in colorectal screening is very low. In order to prevent colorectal cancer death, it is necessary to increase the participation rate.