Aim Present study aimed to investigate how nurses perceived the alteration of the Hungarian health care system at their workplaces. Furthermore, it was examined how uncertainty caused by the changes affects the positive and negative wellbeing of nurses. Methods The cross-sectional study was conducted in six Hungarian hospitals during the period between October and December 2010. The questionnaire used contained questions regarding socio-demographic data, the Well-being Scale, the Job Demand Scale, the Job Control Scale, the Job Social Support Scale and six self-developed questions to investigate uncertainty. Data of 1048 person were analyzed with SPSS 18.0 statistical programme. Descriptive statistics, factor analysis and unpaired two-sample t-test were conducted. Results The alteration of the health care system affected the workplaces of 64.6% of the respondents. The fear of losing the co-workers (p<0.001), of relocation into another ward/department (p=0.001) and of reduction of wage (p<0.001), furthermore, inability to attend in-service trainings (p=0.009) occurred significantly more often among those who experienced the reorganization. Beside work demand, control and support also uncertainty contributed significantly to the explanatory power of the nurses’ positive (p=0.003) and negative (p<0.001) wellbeing. Conclusion The intensive feeling of uncertainty increased the negative well-being of the nurses. As control and support at the workplace reduce the feeling of uncertainty they need to be enhanced. Workplace leaders might have a big role in this and they could also give nurses more opportunities to shape their workplace environment.
Absztrakt: Bevezetes: Manapsag egyre tobbet lehet hallani az egeszsegugyi
dolgozok ellen elkovetett agressziv cselekmenyekről. Ez a terulet kulfoldon mar
evek ota a figyelem kozeppontjaban van, es szamtalan ezzel kapcsolatos kutatas
szuletett, de hazai viszonylatban ezen a teren nagy hianyossagok mutatkoznak.
Celkitűzes: Feltarni az egeszsegugyi szakdolgozokat ert
agressziv cselekmenyek es azok hatasanak osszefuggeseit kulonboző
szociodemografiai es munkahelyi tenyezőkkel. Modszer:
Kvantitativ keresztmetszeti vizsgalat online kerdőivvel 1201 egeszsegugyi
szakdolgozo reszvetelevel. Az adatelemzes χ 2 -, Kolmogorov–Szmirnov-,
Mann–Whitney- es Kruskal–Wallis-probaval tortent. Eredmenyek: A
ferfiak, az 50 evesnel fiatalabb munkavallalok, a fekvőbeteg-ellatasban, a 12
oras folyamatos munkarendben es az allandoan ejszaka dolgozok, a havonta
valamennyi tulorat vegzők elnek at jelentősen gyakrabban verbalis es fizikalis
agressziot, es az agressziv incidens kovetkezteben kialakult negativ emocionalis
hatas is ezen csoportoknal jelentkezik inkabb. Kovetkeztetesek:
Az agresszio a hazai egeszsegugyben egy jelen levő es sulyos problema, amely
megkoveteli a dolgozok megfelelő felkesziteset az ilyen esetekre. Orv. Hetil.,
2017, 158(6), 229–237.
| Abstract: Introduction: Violence against health care providers is getting
more awareness nowadays. This topic is in the focus of international scientific
attention also, although in Hungary exact data is lacking. Aim:
The present study aimed to assess the correlations between violent acts against
health care workers and their effects with different sociodemographic and
workplace-related factors. Method: A quantitative
cross-sectional online survey was conducted enrolling 1201 health care
providers. Data were analysed trough chi-square, Kolmogorov–Smirnov,
Mann–Whitney and Kruskal–Wallis tests, where appropriate.
Results: Verbal and physical aggression was experienced
more frequently by nurses who were males, above the age of fifty, working in
in-patient care or in 12 hours shifts or constant night shifts. The same groups
of health care providers suffered more from the negative emotional consequences
of violent acts. Conclusions: Aggression is a serious problem
in the Hungarian health care system, therefore employees have to be prepared for
these acts. Orv. Hetil., 2017, 158(6), 229–237.
Violence against health care providers is getting more awareness nowadays. These are usually deliberate actions committed by patients or family members of them resulting in short and long term physical or psychological debilitating harm in the staff members. The causes of the violent acts are usually rooted in patient-related factors, although some characteristics of the professionals and of the workplace may also play some role. The present article presents different definitions of violence and possible reasons for violence against health care providers based on relevant international and national literature. The paper discusses the different forms and frequency of violence, furthermore, details about the effects, consequences and some options for prevention in health care settings are also included. Orv. Hetil., 2016, 157(28), 1105–1109.
Health behaviour involves maintaining, improving and restoration of health.The aim of the author was to assess correlations of health behaviour with age, gender, job type and overtime.A quantitative cross-sectional study was conducted using an online questionnaire (N = 186). Data were analyzed with chi-square, Kolmogorov-Smirnov, Mann-Whitney and Kruskal-Wallis tests.Doctors working in in-patient care drink more coffee (p = 0.034) and energy drinks (p = 0.018); they eat undisturbed only on weekends at home (p = 0.032). Men consume more alcohol (p = 0.003), red meats (p<0.001) and hot meals (p = 0.018) and their daily fluid consumption exceeds 2 litres (p = 0.005); their body mass index values are higher compared to women (p<0.001; U = 2289.0). Doctors in primary care eat more hot meals (p = 0.005), and those under the age of 30 consume more crisps, fast food (p = 0.001) and energy drinks (p = 0.005), while they are more active (p = 0.010).Dietary habits of doctors are not ideal and their physical activity is diminished compared to international trends. Orv. Hetil., 2016, 157(30), 1198-1206.
Introduction: Burnout is common among health care providers and doctors. Aim: The correlations between burnout and health, psychosomatic symptoms, life satisfaction and sleep were investigated. Method: An online quantitative cross-sectional questionnaire was administered to 186 doctors. Burnout was assessed by the means of the 21-item questionnaire of Pines and Aronson (1981). Data were analysed with chi-square probe, Mann-Whitney test, correlational analysis and linear regression. Results: Level of burnout correlated negatively with age (p = 0.040; r = –0.151), years spent in the health care system (p = 0.027; r = –0.162) and positive well-being (p<0.001, r = –0.670), while there was a negative correlation with negative well-being (p<0.001; r = 0.585) and life satisfaction (p<0.001; r = –0.532). Doctors with burnout reported worse health (p<0.001), more frequent psychosomatic symptoms (p<0.001), tumours (p = 0.007), allergies (p = 0.030), psychiatric disorders (p = 0.025) and sleep disturbances. Conclusions: One-third of the doctors were affected by burnout in the present study. Higher age and having more children served as a protective factor. Orv. Hetil., 2016, 157(16), 623–630.