PubMed Health⌕ Search

Biomedical subjects

V Lanara

Publications and source records attributed to V Lanara.

12 recordsLinked to original sources
PubMed1999

Patient satisfaction: a key concept for evaluating and improving nursing services.

AIMS: The main purpose of this review was to explore the meaning of patient satisfaction and present the theoretical background and the definitions which developed in nursing. BACKGROUND: Today, there is an increasing interest in patient satisfaction which is considered a valid indicator of the quality of care. ORIGINS OF INFORMATION: An extensive literature review was performed by using the MEDLINE database. DATA ANALYSIS: Data was classified and analysed by using the content analysis approach. KEY ISSUES: The principal finding of this review was the lack of attention to the meaning of patient satisfaction, the development of theoretical frameworks and the psychometric properties of the developed instruments. CONCLUSIONS: Nurses need to develop valid and reliable instruments to measure patient satisfaction in order to improve the quality of care and make their work visible.

Humans↗
PubMed1999

Developing an instrument to measure patient satisfaction with nursing care in Greece.

AIM: The main purpose of this study was to develop a reliable and valid instrument to measure patient satisfaction with nursing care. BACKGROUND: The interest in patient satisfaction is intense but there is an absence of instruments with proper psychometric properties. METHODS: A methodological exploratory design was employed with three phases: content development and critique, pilot study (N = 15) and final tryout (I = 103). FINDINGS: The reliability coefficient for the whole scale was high (alpha = 0.94). An exploratory factor analysis revealed six factors, explaining 68.8% of the variability. The first three factors referred to interpersonal relationships and available time, technical competence and response, and information. The qualitative data facilitated the interpretation of the quantitative data, increased the validity of the scale and gave useful information for improvements. CONCLUSIONS: Overall, the psychometric properties of the instruments were satisfactory but there is a need for continuous evaluation and verification of other studies.

Adolescent↗
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↗
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↗
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

[Nursing care of patients with AIDS].

Nursing administration strategies for a holistic care of patients with the immunodeficiency syndrome (AIDS) and of people infected with human immunodeficiency virus (HIV) are included in the article. The strategies which are discussed refer to: (a) the effective organization and function of nursing services, (b) the continuing education of health care personnel, and (c) the position of international nursing organisations on the subject.

Acquired Immunodeficiency Syndrome↗
PubMedDate not supplied

[The nursing problems in the country].

The nursing problem in Greece has been approached in three dimensions as a problem-challenge: the holistic patient care, nursing research and staffing nursing services. The shortage of graduate nurses, the many levels of nursing education, inadequate organization of nursing services, lack of nurses participation in decision taking for Nursing and inadequate research development have been considered as the main obstacles. Disengagement of professional nurses from civil servants salary with higher financial earning along with their university nursing education are suggested as the most appropriate incentives to attract adequate numbers of nursing candidates and remain to the profession to cover the increased needs of nursing care and the provision of quality nursing services. In addition a great number of unemployed manpower will be used and actualized in nursing where mostly is needed while there is a surplus in almost all the other professions.

Education, Nursing↗