Evangelos Latzourakis

University of Nicosia

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Co-Authors

Monica Nikitara

University of Nicosia

Costas S. Constantinou

University of Nicosia

Eleni Andreou

University of Nicosia

Giannis Polychronis

University of Nicosia

Marianna Diomidous

National and Kapodistrian University of Athens

Savoula Ghobrial

University of Nicosia

ΖΡ

Ζωή Ρούπα

University of Nicosia

ΜΝ

Μαρία Νούλα

University of Nicosia

Costas S. Constantinou

University of Nicosia

Anna Chrysafi

Q PLAN International (Greece)

Cooperative Institutions

University of Nicosia

Health & Life (Taiwan)

Technological Educational Institute of Central Greece

University of Thessaly

National and Kapodistrian University of Athens

European University Cyprus

Intercollege

University of Southern California

Southern California University for Professional Studies

University Hospital of Larissa

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Non-Specialized Nurses Roles in Diabetes Inpatient Care in Cyprus: An Interpretive Phenomenological Analysis

Social Sciences (2022)

Monica Nikitara Costas S. Constantinou Eleni Andreou Evangelos Latzourakis Marianna Diomidous

Aim: The aim of the study was to understand how non-specialized nurses and people with diabetes understand nurses’ roles in diabetes inpatient care. Background: Diabetes mellitus is a major public health issue that places a significant burden on patients and healthcare systems and world leaders have targeted it for priority action. Design: An interpretative phenomenology approach (IPA). Methods: A total of 24 non-specialized nurses working in medical, surgical and nephrology wards and 24 people with type 1 diabetes who use the services of the state hospitals in Cyprus. The data were collected in two phases: firstly, focus groups with nurses (n = 1) and people with diabetes (n = 2) were conducted and analysed and then individual semi-structured interviews with nurses (n = 18) and with people with diabetes (n = 12) were conducted. Findings: It is evident from the study findings that nurses experience several roles in diabetes inpatient care. Most of these roles have been identified by people with diabetes as well. These roles are summarized as follows: medication administration, patient education, screening of complications, diet and psychological support. However, most of the participants raised concerns about nurses’ ability to conduct such roles. Conclusion: Participants suggest that nurses experience several roles in caring for diabetes inpatients and this view was also shared by people with diabetes. However, it was obvious that these roles differ between specialities. The findings showed that even though participants recognized a number of roles in diabetes inpatient care, their description of how they perform these roles was vague, and they raised concerns about their readiness to take on some of these roles.

Interpretative Phenomenological Analysis

10.3390/socsci11100464

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Citations (1)

Acceptance of coronavirus disease 2019 vaccination by cancer patients in Cyprus: A cross-sectional study

Journal of Oncology Pharmacy Practice (2021)

Ζωή Ρούπα Μαρία Νούλα Monica Nikitara Savoula Ghobrial Evangelos Latzourakis

The acceptance of an individual to be vaccinated following the introduction of a new vaccine is dependent on multiple factors. Governing factors directing one's decision to be vaccinated against severe acute respiratory syndrome coronavirus 2, however, are currently unknown and the present study aims at researching these factors within the population of cancer patients.A cross-sectional self-administered survey was conducted anonymously between 22 January and 12 February 2021, during the second vaccination phase against severe acute respiratory syndrome coronavirus 2 in Cyprus. The data were collected via an online questionnaire which was formerly used by previously conducted studies. The Mann-Whitney U test was applied for the comparison of means between bivariate variables, while the Kruskal-Wallis test was used for the comparison of means in variables with more than two groups. In addition, Spearman correlation coefficients were applied to explore the correlation of continuous variables.The sample size consisted of a total of 211 cancer patients, 64.9% of which were women with a mean age of 52.6 ± 12.4 years. The findings of the current research indicate a moderate vaccination acceptance among cancer patients (Μ = 3.3 ± 0.7, R = 1-5).During the promotion of a vaccine against severe acute respiratory syndrome coronavirus 2 to cancer patients, particular emphasis on specific demographic characteristics, vaccination history and preferred sources of informing the individual are required. In addition, through reviewing the prospective effectiveness and possible outcomes of the specific vaccine according to cancer type and anti-cancer therapy, many of the existing concerns and reservations from cancer patients are expected to be diminished.

Cross-sectional study

10.1177/10781552211039489

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Citations (6)

Conflict Management in Nursing: Analyzing Styles, Strategies, and Influencing Factors: A Systematic Review

Nursing Reports (2024)

Monica Nikitara Mutu Roxane Dimalibot Evangelos Latzourakis Costas S. Constantinou

Objective: This systematic review aimed to identify the most prevalent conflict management styles and strategies employed by nurses in clinical settings and to examine the factors associated with their selection. Methods: A comprehensive literature search was conducted following the PRISMA guidelines. Databases searched included PUBMED, CINAHL, Medline, and ProQuest, focusing on articles published between 2014 and 2024. Inclusion criteria were primary data studies involving nurses, published in English. The search strategy utilized Boolean operators to combine keywords related to nursing, conflict management, and healthcare settings. A total of 174 articles were initially identified, with 22 meeting the inclusion criteria after screening. The quality of the included studies was assessed using the Joanna Briggs Institute Qualitative Assessment and Review Instrument Critical Appraisal Checklist. The results were synthesized using content analysis. Results: The main findings from the 22 articles reviewed indicate that accommodation and collaboration/integration are the most common conflict management styles and strategies among nurses, with compromising also frequently employed. Factors such as age, experience, educational level, and workplace culture significantly influence the choice of conflict management strategies. Discussion: Nurses employ a variety of conflict management strategies depending on the context, individual preferences, and situational factors. Effective conflict resolution is closely linked to collaboration and communication, with proactive strategies being more effective in preventing conflicts. The findings underscore the need for tailored conflict management training to enhance job satisfaction and work relations in nursing environments. We acknowledge several limitations that may affect the interpretation and generalizability of our findings such as the diversity of the tools and the methodologies used by the included studies.

CINAHL

Critical appraisal

Data extraction

Nursing management

10.3390/nursrep14040304

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Citations (0)

Effectiveness of Nurses’ Training in Identifying, Reporting and Handling Elderly Abuse: A Systematic Literature Review

Geriatrics (2022)

Pratibha Ranabhat Monica Nikitara Evangelos Latzourakis Costas S. Constantinou

The elderly population globally is estimated to grow by one-third of the world's population by the year 2050. At the same time, elder abuse and neglect have been acknowledged as major growing concerns. With the growing elderly population and increasing concerns about elder abuse, understanding the ways to deal with elder abuse is important. The healthcare professionals, especially nurses, are among the first groups who come in contact with the elderly population and can identify and assess cases of elder abuse. There is evidence to suggest that nurses lack knowledge in the assessment, identification, management, and reporting of an elder abuse case. This study aims to explore the available literature in the effectiveness of training programs for nurses in elder abuse management. The search strategy included the electronic databases CINHAL, Medline, and Health Source. A total of 646 research articles published between 2010 and 2021 were screened against inclusion and exclusion criteria. After reviewing and removing duplicates and irrelevant studies, 14 articles were included in this review. The findings of this literature review revealed that providing education and training for nurses in elder abuse can enhance their knowledge and increase identification and reporting of elder abuse cases. It also indicated that mixed teaching methods, such as face-to-face lectures, simulation, or case scenarios and debriefings or feedback can strengthen the learning process of nurses. In conclusion, educational programs for nurses can significantly improve the identification, reporting, and handling skills of elder abuse incidents. This finding can help in developing accurate strategies for minimizing and preventing elder abuse cases. From the results of this systematic review, we propose the ECLiPSE pathway for the effective training of nurses and handling of elder abuse cases, eventually contributing to decreasing the incidents.

Elder Abuse

Identification

10.3390/geriatrics7050108

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Citations (10)

Facilitators and barriers to the provision of type 1 diabetes inpatient care: An interpretive phenomenological analysis

Nursing Open (2020)

Monica Nikitara Costas S. Constantinou Eleni Andreou Evangelos Latzourakis Marianna Diomidous

Abstract Aim The aim and objective of this study was to understand how non‐specialized nurses understand the possible barriers and facilitators of inpatient care for type 1 diabetes. Design An interpretative phenomenology approach was conducted. Methods The sample consisted of non‐specialized nurses ( N = 24) working in medical, surgical and nephrology wards in the state hospitals in Cyprus. The data were collected during 2016‐2018 from one focus group with nurses ( N = 6) and individual semi‐structured interviews with nurses ( N = 18) conducted. The Standards for Reporting Qualitative Research checklist used to ensure the quality of the study. Results It is evident from the study findings that nurses experience several barriers in diabetes inpatient care reported which are of great concern since this could have adverse effects on patients' outcomes. Only one facilitator has been reported by few nurses.

Facilitator

Interpretative Phenomenological Analysis

10.1002/nop2.699

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Citations (2)

Assessment of Knowledge and Perceptions of Health Workers Regarding COVID-19: A Cross-Sectional Study from Cyprus

Journal of Community Health (2020)

Ζωή Ρούπα Giannis Polychronis Evangelos Latzourakis Monica Nikitara Savoula Ghobrial

Cross-sectional study

2019-20 coronavirus outbreak

10.1007/s10900-020-00949-y

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Citations (31)

Exploring How Educational Preparedness Affects the Attitudes of Nurses Regarding Sexual and Gender Minorities: A Systematic Review

Societies (2024)

Monica Nikitara Marileni Kenteli Evangelos Latzourakis Costas S. Constantinou

Numerous sources report that patients belonging to sexual or gender minority (SGM) groups often do not receive proper healthcare services due to negative attitudes from healthcare providers, including nurses. This literature review aims to explore the gaps in the existing curriculum and educational preparedness, including ehealth and mhealth trainings and how such educational preparedness affects the attitudes of nurses toward SGM groups. The search strategy included the electronic databases CINHAL, PubMed, Medline, EBSCO, and ProQuest. After reviewing and removing duplicates and irrelevant studies, 21 articles were selected to be included in this literature review. The findings of this research indicate that the provision of educational resources, including ehealth and mhealth trainings, falls short of meeting the requirements of caring for a patient who identifies with a sexual and gender minority (SGM) group. Consequently, nurses feel less confident and prepared to provide care in such situations, resulting in low comfort levels and readiness. It also reveals the nurses’ attitudes towards SGM patients affected by the lack of preparation. Key educational interventions, including targeted seminars and online modules, are recommended to enhance nurse preparedness. Implementing these interventions can foster improved attitudes and cultural competence in healthcare settings.

Preparedness

eHealth

10.3390/soc14120273

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Citations (0)

Views of People with Diabetes Regarding Their Experiences of the Facilitators and Barriers in Type 1 Diabetes Inpatient Care: An Interpretative Phenomenological Analysis

Behavioral Sciences (2020)

Monica Nikitara Costas S. Constantinou Eleni Andreou Evangelos Latzourakis Marianna Diomidous

The aim of this study was to comprehend how people with diabetes view their experiences of the possible barriers and facilitators in inpatient care for type 1 diabetes from non-specialized nurses.An interpretative phenomenology analysis (IPA) was conducted.The sample consisted of people with type 1 diabetes 1 (n = 24) who use the services of the state hospitals in Cyprus. The data were collected in two phases: firstly, focus groups with people with diabetes (n = 2) were conducted and analysed, and then individual semi-structured interviews with people with diabetes (n = 12) were conducted.It is evident from the findings that people with diabetes experienced several barriers in diabetes inpatient care, which is concerning since this can have adverse effects on patients' outcomes. No facilitators were reported.Significant results were found in relation to the barriers to diabetes inpatient care. Crucially, the findings demonstrate that all these factors can negatively affect the quality of care of patients with diabetes, and most of these factors are related not only to diabetes care but also generally to all patients who receive inpatient care. Interestingly, no participant reported any facilitators to their care, which further affected the negative perceptions of the care received.

Interpretative Phenomenological Analysis

10.3390/bs10080120

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Citations (4)

The Impact of Transformational Leadership in the Nursing Work Environment and Patients’ Outcomes: A Systematic Review

Nursing Reports (2023)

Line Miray Kazin Ystaas Monica Nikitara Savoula Ghobrial Evangelos Latzourakis Giannis Polychronis

Background: With the increasingly demanding healthcare environment, patient safety issues are only becoming more complex. This urges nursing leaders to adapt and master effective leadership; particularly, transformational leadership (TFL) is shown to scientifically be the most successfully recognized leadership style in healthcare, focusing on relationship building while putting followers in power and emphasizing values and vision. Aim: To examine how transformational leadership affects nurses’ job environment and nursing care provided to the patients and patients’ outcomes. Design: A systematic literature review was conducted. From 71 reviewed, 23 studies were included (studies included questionnaire surveys and one interview, extracting barriers and facilitators, and analyzing using qualitative synthesis). Result: TFL indirectly and directly positively affects nurses’ work environment through mediators, including structural empowerment, organizational commitment, and job satisfaction. Nurses perceived that managers’ TFL behavior did not attain excellence in any of the included organizations, highlighting the necessity for additional leadership training to enhance the patient safety culture related to the non-reporting of errors and to mitigate the blame culture within the nursing environment. Conclusion: Bringing more focus to leadership education in nursing can make future nursing leaders more effective, which will cultivate efficient teamwork, a quality nursing work environment, and, ultimately, safe and efficient patient outcomes. This study was not registered.

Excellence

10.3390/nursrep13030108

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Citations (24)