Burnout and patient safety: A discriminant analysis of paediatric nurses by low to high managerial support.

AIM: To explore how levels of managerial support discriminate paediatric nurses' burnout, quality of life, intent to leave and adverse patient events. DESIGN: A quantitative correlational study. METHODS: A total of 225 paediatric nurses were selected from nine major hospitals across Jordan. The main measures used were the Copenhagen Burnout Inventory and the brief version of World Health Organization-Quality of Life Instrument. The study methods were compliant with the STROBE checklist. RESULTS: Nurse manager support was negatively associated with adverse patient events, work-related burnout, client-related burnout, and intent to leave; and positively with physical and psychological quality of life. Frequency of nosocomial infections characterized low manager support, whereas medication errors described high support. Greater nurse manager support decreased the likelihood of adverse patient outcomes.

Influence of cognitive function and nurse support on malnutrition risk in nursing home residents.

AIM: To predict malnutrition risk of older residents by cognitive function, nurse support and self-care capacity as primary measures of interest. DESIGN: Cross-sectional, correlation design with linear regression analysis. METHODS: Older residents over 60 years of age were randomly selected from nursing homes. Mini Mental State Exam and the Mini Nutritional Assessment were used were as main measures. RESULTS: Lower malnutrition risk was associated with better cognitive functioning. Improved independence of self-feeding was also linked to reduced nutritional risk. Nurse support was positively related to BMI and cognitive impairment. General self-care capacity and 'appetite the week before' were key predictors of malnutrition risk; 1-point increase in both variables caused nutritional risk to decrease by 1.73 and 1.38 points, respectively. That is, a 1-point increase in self-care capacity and appetite would decrease malnutrition risk by 5.76% and 4.6%. The regression model explained significant amount (65.6%) of variance in malnutrition risk.

[Comparative analysis of attitudes of ambulance personnel and paramedic students regarding death and dying]. / Mentodolgozók és mentotiszthallgatók halállal és haldoklással kapcsolatos attitudjének összehasonlító vizsgálata.

INTRODUCTION: The emergency care staff witness the experience of dying and death on a daily basis. AIM: The aim of the study was to evaluate and compare the current and future ambulance personnel's fear of death and its influencing factors. METHOD: Quantitative, cross-sectional comparative study was conducted including 106 participants (active rescue ambulance personnel, n = 45 persons; paramedic students, n = 61). A voluntary, anonymous questionnaire survey method (the Neimeyer-Moore Multidimensional Fear of Death Scale) was used for data collection. The data were analyzed using descriptive and mathematical statistical tests (T-test, analysis of variance). RESULTS: The students had a greater fear in the "Fear for Significant Others" factor (p = 0.001). Students showed stronger fear who lived in cities, had higher educational qualifications, who where women (p = 0.036), singles (p = 0.046), those who have not seen a dying person (p = 0.017) and those who were never witnessed death. Greater fear characterized the ambulance personnel who were village residents, those living in a partnership (p = 0.027), those with lower educational level (p = 0.041) and those who had been working for a longer time. CONCLUSIONS: There is no significant difference between the levels of fear of death of the present and future ambulance personnel. However, the practice-oriented education is very important and, training associated with death and dying should be integrated in the educational schedules of the paramedic students.

[Sleep quality of nurses working in shifts - Hungarian adaptation of the Bergen Shift Work Sleep Questionnaire]. / Váltott muszakban dolgozó ápolók alvásminoségének vizsgálata a magyar nyelvre adaptált Bergen Shift Work Sleep Questionnaire alkalmazásával.

INTRODUCTION: Sleep disorders among shift workers are common problems due to the disturbed circadian rhythm. The Bergen Shift Work Sleep Questionnaire assesses discrete sleep problems related to work shifts (day, evening and night shifts) and rest days. AIM: The aim of the study was to develop the Hungarian version of this questionnaire and to compare the sleep quality of nurses in different work schedules. METHOD: 326 nurses working in shifts filled in the questionnaire. The authors made convergent and discriminant validation of the questionnaire with the Athens Insomnia Scale and the Perceived Stress Questionnaire. RESULTS: The questionnaire based on psychometric characteristics was suitable to assess sleep disorders associated with shift work in a Hungarian sample. The frequency of discrete symptoms significantly (p<0.001) differed with the shifts. Nurses experienced the worst sleep quality and daytime fatigue after the night shift. Nurses working in irregular shift system had worse sleep quality than nurses working in regular and flexible shift system (p<0.001). CONCLUSIONS: The sleep disorder of nurses working in shifts should be assessed with the Hungarian version of the Bergen Shift Work Sleep Questionnaire on a nationally representative sample, and the least burdensome shift system could be established.