Quarterly scientific journal

Rostrum of Asclepius Vol 18, No. 1 (2019): January - March 2019

Vima AsklipiouRostrum of Asclepius Vol 18, No. 1 (2019): January - March 2019

Editorial

Clinical governance in health services | 1-3

Olga Kadda

Review

The use of information and communication technologies in higher nursing education | 4-15

Periklis Rompolas , Georgia Brenta

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Introduction: New technologies have catalytically influenced the everyday life of people in a variety of fields. Information and Communication Technologies (ICTs), given that they are one of the five skills that health professionals have to offer, according to the Institute of Medicine's report in the United States, provide a wealth of opportunities for training nurses at a theoretical and clinical level. Purpose: The purpose of this study was to present the new reality that ICTs offers to higher-education nursing through the applications provided. Methodology: The methodology included a collection of information on the subject from articles and books of the last decade in the Pubmed, Iatrotek databases and the Hellenic Academic Libraries Association (HEAL-Link). Results: The review of the literature has shown that using ICTs offers special opportunities for trainee future nurses as important educational tools for both themselves and their teachers. According to research results in America, 53% of nursing schools compared to 45% of medical practitioners use tools such as blogs or wikis in their curricula. At the same time, social media such as Facebook or Twitter, as well as YouTube, interact with learners and teachers as they enumerate millions of users worldwide. In Greece, 63% of Internet users have created profiles in a social networking service, with the corresponding European average being 45%. The benefits of using ICTs in nursing education are many as the Internet, the global web and the variety of virtual world software provide the guarantee of a learning process with modern methodology, content and targeting that will lead to active, critical thinkers in a team spirit and cooperative nurses, versatile in different environments. In any case, ICTs concerns in nursing education outline issues such as cost, quality of knowledge and the humanitarian dimension of teaching. Conclusion: ICTs is undoubtedly a new reality and can be a cornerstone of modern higher education

Keywords: Information and communication technologies, nursing education, benefits, reflections

Original Paper

Quality evaluation of physiotherapy services in the department of Physical Medicine of the general hospital of Volos “Achilopouleio” | 75-98

Evangelos Prekas , Pavlos Sarafis , Maria Malliarou

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Introduction: Patient satisfaction is now an important indicator to assess the quality of health services. Purpose: The purpose of the present study was to estimate the patient satisfaction of the General Hospital of Volos 'Achilopouleio' (GHV) who visited the Department of Physical Medicine for physiotherapy services. Material and Methods: The PSQ questionnaire of Monnin & Perneger PSQ (2002) was given to 104 outpatients of the Department of Physical Medicine of the GHV, who participated in this study. The average age of the sample was 53.7 years. 52.9% of the participants were women and 47.1% were men. The SPSS 19.0 statistical program was used to analyze the questionnaires. Results: 90.43% of the patients participated in this survey. Total patient satisfaction was 90.6%. The satisfaction of the patients from their relationship with the physiotherapist was 91.2%, the satisfaction of the patients from the physiotherapy services procedures was 88.2%, the satisfaction of the patients from the hospital environment was 89, 5% and the overall assessment of patient experience at the end of their treatment was 95.3%. Conclusions: Patient satisfaction as indicator quality of health service, of the Department of Physical Medicine of the GHV, ranged at quite high levels. The physiotherapist's relationship with the patient during therapy proved to be the most important factor of satisfaction.

Keywords: Evaluation, quality, patient satisfaction, physiotherapy

Systematic Review

Participative leadership model and mobbing syndrome in Nursing | 16-36

Evangelia Prevyzi

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Introduction: The participative leadership model appears to be associated with the occurrence of mobbing syndrome, which refers to continuous bad interplay. Aim: The aim of the present study was to highlight the relationship of participative leadership model and the appearance of mobbing syndrome in nursing. Methodology: A systematic review has been carried out in the electronic databases Pubmed, Medline, Scopus, and Iatrotek. Criteria for the selection of research studies - reviews were published in the period 2006-2016, in Greek and English. Results: Of the 80 articles collected, after reading the full article 31 articles were selected for the writing of the systematic review. The results showed that the characteristics of a participative leadership model such as good communication and collaboration among nursing team members help to quickly identify and cope with the mobbing syndrome. Conclusions: The participative leadership model promotes and respects moral values, strengthen dialogue and avoid the abuse of power. It seems to be appropriate for the prevention and avoidance of bullying syndrome. It is necessary to train the leader before their administration position about this syndrome, as seems to occur, which allows the management model.

Keywords: Participative leadership model, working groups, leader’s role, mobbing syndrome, addressing bullying syndrome

Evidence - based nursing skills on patients in need of emergency care | 37-51

Michael Kourakos , Thedora Kafkia

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Introduction: Evidence-based nursing is a modern approach to nursing practice in the field of health which has many advantages in its implementation to patients in need of emergency care. Aim: The aim of the present study was the Greek and international bibliographic review of the implementation of evidence-based nursing and its benefits to patients in need of emergency care. Method: The methodology followed included the search and identification of research and review articles on the implementation of evidence-based nursing in patients in need of emergency care and the results thereof. Results: According to the international literature, the implementation of evidence-based nursing has many advantages especially when exercising in patients in need of emergency care, as such cases require specialized skills and critical thinking for proper assessment and optimal management of these. The implementation of evidence-based nursing requires the training of nursing staff through personal review of research, educational interventions and / or evidence-based guidelines. Conclusions: Evidence-based nursing brings positive results to patients' health outcomes and efforts should therefore be made to integrate it into nursing practice.

Keywords: Εvidence-based nursing, acute care, emergency nursing care

Quality of life after total knee replacement: a systematic literature review | 52-74

Antriana Koulouri , Petros Galanis

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Introduction: Recently there has been a rapid increase in the prevalence of arthritic knee disorders, resulting in a consequential increase in total knee replacement operations. At the same time, the mean age of people undergoing surgery is decreasing because people want to improve their life expectancy and be productive. Objective: We performed a systematic literature review to explore the quality of life of patients with total knee replacement. Material and method: A systematic literature review was conducted in PubMed and Cochrane Library using the following keywords: quality of life, health related quality of life, quality adjusted life year, patient report outcome, life satisfaction, total knee replacement, total knee arthroplasty, total knee joint prosthesis. From a total of 577 results of the scientific search, 20 studies met the inclusive criteria. Results: In four studies there were statistically significant correlation between disability, continued pain, quality of sleep, presence of negative emotions and obesity with deterioration in quality of life after total knee replacement. Three studies did not identify statistically significant correlations of pre-surgery wait, pre-surgery body mass index and the creation of a multidisciplinary rehabilitation program in the promotion of quality of life. However, thirteen surveys showed statistically significant improvements in quality of life. Specifically in two studies, there was a statistically significant improvement in the subjective dimension of quality of life, two studies found statistically more significant improvements in men than women, and eight studies found a statistically significant improvement in the quality of life for patients with rheumatic diseases, especially for patients with osteoarthritis. Conclusions: Patient quality of life is promoted after total knee replacement. However, when conducting research, it is necessary to investigate both the objective and the subjective dimensions pertaining to quality of life. The intensification of the investigation of the specific field of research can contribute to the upgrading of the quality of the services provided and to the timely identification of the complications that may arise from the increased implementation of total knee replacement.

Keywords: Quality of life, total knee replacement, systematic literature review

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