Quarterly scientific journal

Rostrum of Asclepius Vol 19, No. 1 (2020): January - March 2020

Vima AsklipiouRostrum of Asclepius Vol 19, No. 1 (2020): January - March 2020

Editorial

Pressure ulcer classification systems - Problems in clinical practice | 1-4

Ioannis Kalemikerakis

Hot Topic

Theoretical approach to gender differences of empathy | 5-24

Georghios Karayiannis , Zoe Roupa , Maria Noula , Antonis Farmakas , Evridiki Papastavrou

AbstractMore

Empathy in the sense of understanding the feelings, thoughts and behavior of another person is considered to be fundamental to the therapeutic relationship in the health care environment. Research on empathy to date has shown differences between health professionals, with gender differences being the most important. The purpose of this article is to study the differences of gender through the theoretical, philosophical side and the explanation of this phenomenon through various theories and assumptions that give their own distinct interpretation. The study was based on stereotypes of roles between the two sexes, evolutionary theory of parental investment, gender differences from a sociological and psychodynamic point of view, moral and ethical dimension of the subject, emotional empathy and the Neuro-biological basis of empathy. The results have shown that societal expectations greatly regulate gender behavior and roles with women being expected and potentially expressing higher levels of empathy than men. According to other theories, the difference is supported on the basis of the parent instinct and the fact that mothers are expected to develop emotional perceptual skills to be able to sense the feelings and needs of their offspring to ensure their survival. The woman's traditional role in caring and the moral around him, as well as the view that women have a greater sense of emotion and are more likely to feel emotional messages helps them to provide more emotional support from men, have more human behavior and greater social sensitivity. More recent studies attribute gender differences to neurobiological factors and show signs that gender diversity in empathy has a phylogenetic and ontological biological basis and is not an absolute product of cultural components determined by socialization. In conclusion, it should be stressed that the study of the subject needs to be reinforced with more and perhaps more sophisticated ways of exploring so that the scientific community can safely draw conclusions on gender differences and whether these differences will continue to exist or disappear In the time.

Keywords: Empathy, nursing students, health professional students, empathy, gender

Special Article

Public health: research fields-main challenges and priorities in the municipality of Viotia | 25-34

Elpiniki Biskanaki

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Health is a fundamental human right, the meaning of which is defined by the World Health Organization's Charter. The term Public Health, however, differs from the usual, personalized approach to health and disease, as it recognizes broader horizons aimed at preventing and promoting health, epidemiological research and targeted interventions to improve the health of the entire population. The main areas of public health research are concerned with the assessment of the health impacts of various policies and programs, the management of health hazards and emergencies, the improvement of the quality of services and living conditions, and the evaluation of priorities and interventions in Public Health. Public Health challenges in the municipality of Aliartos are largely the result of the socio-economic and demographic changes that have taken place in the last years of the crisis (widening health inequality, increasing morbidity rates, increasing number of psychiatric illnesses, increasing number of chronic illnesses and an increased flow of refugees), existing environmental conditions (waterlogging, high humidity) and some local peculiarities (obsolete water supply system, untrained collection of herbs and herbs). Accordingly, Public Health priorities focus on a combination of educational, financial and environmental support activities. Recognizing and prioritizing Public Health priorities is an essential prerequisite for promoting health and improving it throughout the population. The solution lies in combining educational, financial and environmental support activities, in a spirit of interdisciplinary and cross-sectoral cooperation.

Keywords: Public health, health promotion, Greece, financial crisis, Aliartos

Nursing and sustainable development | 35-45

Periklis Rompolas , Georgia Brenta

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Introduction: Although nursing researchers have highlighted the issue of sustainability in the health sector, the scope and dimensions of sustainability in nursing are unspecified and inadequate. Purpose: The purpose of this study was to describe the meaning and dimensions of sustainability in nursing science, practice and education and to explore the role of nurses as members of the global community. Methodology: The methodology included a collection of information on the subject from articles and books of the last decade in the PubMed, Cinahl databases and the Hellenic Academic Libraries (HEAL-Link) link, as well as in research articles, books, scientific journals and websites. Results: Sustainability in nursing includes concepts: ecology, environment, future, globalization, population and maintenance. Sustainability nurses must have knowledge of climate change and environmental impact, be sensitized and responsibly willing to change the goal of nursing science towards sustainability. This applies both to the practice of nursing clinical practice in conjunction with appropriate adaptations and directions of nursing education and the implementation of health education programs in the community by professional nurses. Conclusion: Nursing can contribute to sustainable development with the ultimate goal of maintaining an environment that does not hamper the opportunities of present and future generations for optimal health. Future nursing research should incorporate the principles and recommendations of sustainability into the modern world in the context of a sustainable and holistic healthcare model.

Keywords: Sustainable development, sustainability, nursing

Systematic Review

Influence of prehospital time in trauma patients’ outcome: a systematic review | 46-71

Maria Mousoularikou , Antonia Kalogianni , Angeliki Stamou , Theodore Kapadochos

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Introduction: In recent decades, wounds are one of the leading causes of death, especially among young people under the age of 40, due to the rapid increase in motor vehicle accidents, but also to widespread wars between states, which have led to millions of injured or to deaths as a result of injuries. Aim: of this systematic review was to investigate the influence of prehospital time on trauma patients’ outcome. Method: The relevant Greek and international bibliography was searched in the Pubmed, Scopus, ScienceDirect, Cochrane and Google Scholar bibliographic databases. The key words used were: prehospital time, prehospital care, transport time, on-scene time, trauma patients’ outcome, outcome parameters, golden hour, factors contributing to the survival of trauma patients, road traffic injuries, road safety and a combination of these. Results: For this systematic review, 13 articles were finally selected. The results showed that the immediate, correct, specialized and comprehensive provision of first aid at the pre-hospital level contributes decisively to the holistic treatment of the injured patient and the stabilization before moving to a specialized and organized hospital wound center, ultimately limiting the mortality and fatality of the wounded. However, more specialized researches are required from the scientific community, to larger groups of the population, in order to draw more safe conclusions regarding the increase in the survival rate of seriously injured patients. Conclusions: Time is the most basic and determinant factor for the outcome of traumatic health, and in particular, pre-hospital intervention during the first hour of injury is important to significantly reduce the mortality of the injured.

Keywords: Prehospital time, wound care, golden time

The impact of central line insertion and maintenance care checklist on central line-associated bloodstream infections (CLABSIs): A literature review | 72-86

Maria Gamvrouli , Christos Triantafyllou

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Introduction: Central line-associated bloodstream infections (CLABSIs) are one of the most common nosocomial infections and are associated with increased mortality, prolonged hospitalization and increased healthcare costs. Aim: The aim of the present review was to investigate the impact of central line insertion and maintenance care checklists on CLABSIs in Neonatal Intensive Care Units (NICUs), Pediatric Intensive Care Units (PICUs) and Hematology/Oncology Units. Material and Methods: Search was performed on PubMed with the key-words: “children”, “hematology/oncology”, “NICU”, “PICU”, “pediatric intensive care unit”, “neonatal intensive care unit”, “central line-associated bloodstream infections”, “CLABSI”,“checklists”, without time limit for the publication of scientific papers. Studies were excluded if they were not published in English language, were conducted on animals and were case studies, editorials and letters to the editor. Of the 11 studies that were included, 7 referred to NICUs, 2 to PICUs and the remaining 2 to hematology/oncology units. Results: CLABSI rate was reduced in all 11 studies. In NICUs, the highest reduction of CLABSI rate was 92%, in PICUs more than 50% and in hematology/oncology units the reduction was 28% and 64% respectively. Conclusions: Central line insertion and maintenance care checklists reduce CLABSIs, either as an independent intervention or as element of CLABSI bundle.

Keywords: CLABSI, NICU, PICU, hematology/ oncology units, checklists

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