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Biomedical subjects

C Plati

Publications and source records attributed to C Plati.

11 recordsLinked to original sources
PubMed1998

Nursing manpower development and strategic planning in Greece.

PURPOSE: A national study to register all working nursing personnel and nursing students; to estimate the nursing needs of the Greek population beyond the year 2000; to design a nursing resource master plan for the nursing needs of Greece. DESIGN: First, a questionnaire was distributed to register all nursing personnel. Second, required personnel were estimated according to the population of each of the country's regions. Third, a master plan for developing nursing personnel to the year 2010 was developed. RESULTS: The number of nursing personnel was found to be 35,715 which included 11,497 RNs and health visitors, 22,318 assistant nurses, 1,900 midwives. The number of students was 9,252. The majority of nursing personnel work in areas with the highest population. The need for nursing personnel was estimated to be 62,000: 36,300 RNs, 21,700 assistant nurses and 4,000 midwives. CONCLUSIONS: There is a serious shortage of RNs in the Greek health services resulting in a downgrading of nursing care quality.

Education, Nursing↗
PubMed1997

The effectiveness of the mental health nursing interventions in a general hospital.

The purpose of the study was to investigate: a) how mental health nursing interventions were provided to general hospital patients, who during their hospitalization presented psychological/pyschiatric problems and b) how the patients actually evaluate the effectiveness of the care given to them. We interviewed 95 medical-surgical patients, who were referred to the psychiatric consultation-liaison service of a general hospital. During the interview, a nursing evaluation of the patients' psychological problems took place, followed by appropriate mental health nursing interventions which were taken from the NOSIE scale and the standards of the Psychiatric Mental Health Nursing Practice. Anxiety was the most common problem 41.1% in the referrals. The comparison of the mean value of the patients' problems before and those after the mental health nursing interventions, showed statistically significant reduction of the problems. Also, the comparison of the mean value in the fourth assessment of the patients' problems with the mean value of the patients' opinion, showed an achievement in facilitating the verbal expression and comforting the physical and psychological symptoms to a point statistically significant.

Comorbidity↗
PubMed1997

Factors associated with back pain in nursing staff: a survey in Athens, Greece.

Factors associated with self-reported back pain were investigated using questionnaire data on 407 female nurses from a large hospital in Athens, Greece. Factor analysis was used to construct indices of pain and its impact on normal life, and also to summarize work load descriptions. Pain factors were examined in relation to work load and personal characteristics by logistic regression. Statistically significant items, in relation both to pain and impact, were the existence of previous back injury, self-reported headaches and the 'carrying and lifting' factor of work load which principally included moving equipment. Age, height and weight were not associated with back pain. Compared to a similar study by Harber and colleagues in California, United States of America, the factors associated with back pain were quite similar in this study even though the prevalence of back pain was much higher among Greek nurses and their work load was physically much more demanding.

Back Pain↗
PubMed1996

The intensive care units in greater Athens: needs and resources.

UNLABELLED: The purpose of this study was to investigate the availability of intensive care unit (ICU) beds and the number of requests, the number and categories of nursing staff, the nursing care required, and the time spent in various nursing activities. METHODS: 19 district general hospitals were studied. The characteristics of the units and their nursing personnel were recorded. The availability of ICU beds, the frequency of bed requests, and the way of patient admission in the ICUs were studied retrospectively for 1 year and prospectively for 2 weeks. The staffing level of direct care for 36 patients was studied to determine the time required for direct nursing care. RESULTS: the distribution of intensive care beds was: GICU 108, CICU 114, PSICU 30. During 1991, 12363 patients were admitted and 12172 of them were discharged; 3 628 patients stayed less than 2 days while the average length of stay was 12.5 days. In 1992, during the 2-week period, there were 303 requests for an admission to ICUs and of these 150 requests could not be met because of lack of ICU beds. The mean staffing level was 2.3 nurses per bed (to cover the three shifts). The mean nursing time required for direct nursing care of each patient per shift was found to be 6 hours for GICU patients, 5.3 for CICU, and 6.0 for PSICU patients.

Greece↗
PubMed1996

Allocation of nursing time.

The purpose of this study was to examine the allocation of nursing time to various activities of registered and assistant nurses during the day shift. Twenty-three registered (RN) and eighteen assistant nurses (AN) working in medical and surgical wards of five large hospitals were studied. The findings have shown that the most frequent activities performed were; indirect care representing 35.6% of the time, direct care representing 23.8% of the time, personal activities representing 16.8% of the time, and direct nursing interventions representing 8.2% of the time. Cross-tabulation revealed that RNs provided direct care less frequently and indirect care more frequently than ANs (25.3 activities per RN and 27.5 per AN, 62.1 activities per RN and 32.6 per AN, respectively). Many indirect care activities were found to be the responsibility of the head nurse (64), secretary (465), and others (104). Less expected results were the minimal amounts of time spent on both education and research activities (1.3% and 0.0% respectively). Nurse managers have to free nurses from subsidiary work and to find mechanisms to distribute nursing valuable time more efficiently.

Humans↗
PubMed1995

Pain assessment in acute myocardial infarction patients.

UNLABELLED: The purpose of this study was to investigate the pain intensity and duration, and to assess the pain control intervention, in patients with acute myocardial infarction (AMI). METHODS: Ninety-seven patients (18 diabetics and 79 non-diabetics) admitted to the hospital with chest pain were included in this study. Pain was measured on the numerical rating scale (NRS) 0-10, where 0 means no pain and 10 unbearable pain. All patients were followed for 12 hours, after the last chest pain episode. The data were statistically evaluated with the Student's t-test and chi square (chi 2). RESULTS: The pain in AMI patients with diabetes mellitus was lower in intensity (P < 0.002) and shorter in duration (P < 0.000) respectively, compared with the non-diabetic AMI patients. The intensity of pain in patients with an anterior infarction tended to be higher (P < 0.03) than in those with an inferior infarction. Finally, the systolic blood pressure fell significantly (P < 0.000) 90 min after admission. No other significant differences were found.

Angina Pectoris↗
PubMed1994

Nursing absenteeism--one determining factor for the staffing plan.

The purpose of the present study was to quantify factors which contribute to the absenteeism of nursing personnel and affect staffing patterns. Absenteeism in a general hospital was studied for the period 1975-1990 in relation to the number and level of nursing personnel, the number of discharged patients in the same period, and the existing relevant policy. The variables were analyzed by the multiple regression method having an initial estimator the existing situation in 1990 and what is expected for the year 2000. The results showed that the mean value days of absenteeism for each registered and assistant nurse in 1975 was 22.4 days and in 1990, 51.9 days, sickness raised from 12.6 days in 1975 to 16.6 in 1990, maternity from 9.1 in 1975 to 25.3 in 1990, educational leave for registered nurses was 0.02 in 1975 and 3.8 in 1990 and for assistants 2.1 in 1985 and 17.3 in 1990 due to the new policy, and social fringe benefits raised from 0.71 days in 1975 to 3.65 in 1990. The expected rate of absenteeism by the year 2000 will be 67 to 83 days per person, an increase by 56% in relation to 1990 data.

Absenteeism↗
PubMed1992

Risk factors responsible for patients' falls.

The study determined intrinsic factors which contributed to the falls of adults hospitalized in a general hospital during 1987-88. Two hundred and fourteen patients were studied in two groups. Group A consisted of 108 patients who fell during their hospitalization and control Group B consisted of 106 patients with the same characteristics also hospitalized during the same period who did not fall. Of the 23 variables which have been analyzed by the multivariate logistic regression method, seven present statistically significant incidence and increased risk of patients' falls: (1) gender: the number of accidents occurring among male patients was higher than that among females (p = 0.0022); (2) age: the majority of accidents occurred in the 65 greater than or equal to years old age group (p = 0.00426); (3) general pathological conditions: mostly patients with cardiac problems (p = 0.0062); (4) neoplasms (p = 0.0334); (5) anaemias (p = 0.0128); (6) post-operative conditions (p = 0.0063); and the taking of hypnotic/tranquilizer drugs (p = 0.0486). Other significant findings were: the highest incidence of falls occurred during the first 4 days of the patients' admission to hospital and most during the early morning hours (5-6 am). Injuries incurred were bruises (32.4%), minor injuries (24%), major injuries (16.7%) and fractures (10.2%). The high correlation between patients' falls and (1) specific diseases, namely neoplasms, anaemias, cardiac and post-operative conditions and (2) the taking of hypnotic/tranquilizer drugs are risk factors in relation to patients' falls in general hospitals.

Accidental Falls↗
PubMed1988

The prevalence of urinary tract infection in patients related to type of drainage bag.

The prevalence of urinary tract infection in patients catheterised inside the hospital was studied in relation to the type of drainage bag used. Five hundred and thirty-two adult patients of both sexes were studied in three groups consisting of (1) open drainage system with an infection incidence of 38.9%; (2) closed system with 25.1%; and (3) the closed system plus the addition of chlorhexidine with 15% infection. The overall incidence of infection was 29.8%. There was a statistically significant difference between the first and the second group (p less than 0.01), the first and the third group (p less than 0.01), but none between the second and third groups (p greater than 0.01). The incidence was higher in women than in men (p less than 0.01), but only in the age group greater than or equal to 60 (p less than 0.01). The index of medical patients was significantly higher than in urological patients (p less than 0.05), while there was no statistical significance between surgical and urological patients (p greater than 0.1). The highest prevalence of infection in the three groups occurred on the seventh day. Gram-negative bacteria were 63.3%, Gram-positive 10.1% and fungi 26.6%.

Aged↗
PubMedDate not supplied

[Proposed job descriptions for nursing personnel].

Proposed job descriptions for nursing personnel. The paper is part of the nursing service of "Evangelismos" hospital proposed recommendations to the Central Council of Health. The proposals include nursing descriptions, patients' rights, and the general role of the nursing service within the hospital structure.

Greece↗