http://ktisis.cut.ac.cy/handle/10488/4778 Search the Channel search http://ktisis.cut.ac.cy/simple-search http://ktisis.cut.ac.cy/handle/10488/7848 Title: Ωφελέειν ή μη βλάπτειν: ασφαλή περιβάλλοντα εργασίας και ποιότητα φροντίδας<br/><br/>Authors: Ραφτόπουλος, Βασίλειος<br/><br/>Abstract: Η μετεξέλιξη του Ιπποκρατικού μοντέλου (ωφελέειν ή μη βλάπτειν) και του primum non nocere της Nightingale σε μια νέα εποχή που αναγνωρίζει την ποιότητα της φροντίδας, ως σύνθημα, πολιτική υγείας και στρατηγικό στόχο, αναδεικνύει την ασφάλεια των ασθενών και του προσωπικού φροντίδας ως το σύγχρονο στόχο. Αυτό εμπεδώνεται από τους νοσηλευτές και με το θέμα του φετινού εορτασμού της διεθνούς ημέρας της Νοσηλευτικής «Ποιοτικοί χώροι εργασίας: Ποιοτική φροντίδα ασθενούς». Sun, 29 Oct 2006 22:58:59 GMT http://ktisis.cut.ac.cy/handle/10488/7847 Title: Informal in-hospital care in a rehabilitation setting in Greece: an estimation of the nursing staff required for substituting this care<br/><br/>Authors: Raftopoulos, Vasilios; Sapountzi-Krepia, D.; Sgantzos, M.<br/><br/>Abstract: Purpose. To explore: (a) the type and frequency of care-giving activities provided by family members in the RehabilitationSetting (RS), (b) opportunities for family members to receive training in care-giving activities, (c) to what extent caregiversfeel free to ask the nursing staff for help and (d) to estimate the number of nursing staff required to substitute this care andthus to estimate the money saved by the RS due to the in-hospital informal care.Method. A convenience sample of 80 family members was selected. A questionnaire was developed to investigate severalaspects of informal in-hospital care. Data was analysed using SPSS for Windows (Release 10.1).Results. Cultural reasons and nursing staff shortage led 78.8% (n = 63) of the sample to provide informal in-hospital care.Oral and facial care (67.5%), help with getting dressed (62.5%), help with feeding (61.25%, n = 49), making patients’ beds(57.5%, n = 46) and assistance with transferring patients from one hospital department to another (56.25%, n = 45) wasprovided on a daily basis by the subjects. 48.75%, (n = 39) changed sheets 1 – 2 times per week, while assistance withtransfers from bed to wheel-chair and vice-versa (43.75%, n = 35) was provided 3 – 4 times per week. The estimated totaltime spent per week by the subjects on care-giving activities was 34,034 minutes that corresponds to a total of 75.6 workingdays or 15.12 working weeks. In order to substitute this care, the RS would need to hire 17 more assistant nurses, entailing acost of from e14,450 to e20,060 per month.Conclusions. Informal in-hospital care is provided by Greek families in the RS. Nursing care staff shortage combined withcultural factors are the main reasons for this phenomenon. However, it saves the RS and the Greek State money and policymakers should be looking for ways to overcome the nursing shortage. Sat, 29 Oct 2005 22:58:59 GMT http://ktisis.cut.ac.cy/handle/10488/7845 Title: How do patients experience stress caused by hospitalisation and how do nurses perceive this stress experienced by patients? A comparative study<br/><br/>Authors: Raftopoulos, Vasilios; Kotrotsiou, Evagelia; Theodosopoulou, Heleni<br/><br/>Abstract: It has been acknowledged that, in general, stress caused by hospitalisation and hospital caremay hinder patient recovery and in some cases it may cause potentially life-threateningpsychological changes. Hospitalisation and subsequent treatment and medical careconstitute a period of anxiety for the patients and a severe anxiety-causing situation. Thisfact has been confirmed by a large number of researches studying many different kinds ofhospital care.1 Many factors were reported to contribute to this anxiety, including thoserelating to an illness such as pain, anxiety or improvement and recovery, and factorsrelating to hospital stay such as sleeping in a strange bed or sharing a hospital room withothers. Sun, 29 Oct 2000 22:58:59 GMT http://ktisis.cut.ac.cy/handle/10488/7841 Title: A grounded theory for patients' satisfaction with quality of hospital care<br/><br/>Authors: Raftopoulos, Vasilios<br/><br/>Abstract: Objective: Patient satisfaction with quality of care is a dominant concept in quality assurance and quality improvement programs. Elderly patients are the central users of health care services and therefore the development of a grounded theory that explains how they perceive quality of care is important for strategy planning and health services evaluation. Sample and methods: The study was carried out at two hospitals, a capital hospital and an urban one in Greece. There were 24 elderly patients, with a mean age of 70±6.02 years old. The methodology for the data analysis was similar to the one described by Corbin and Strauss for grounded theory analysis. In order to assure the quality of our qualitative research we used triangulation (in-depth interviews, focus group and direct observation). Content analysis of the interviews was primarily based on conceptual analysis of the two main concepts: patients' perceived quality of care and patients' satisfaction with care. Results: After open coding of the data obtained from the interviews, we identified five categories: food, nursing care, medical care, room characteristics, and treatment/diagnosis. These five categories are common whether we measure elderly perceived quality of hospital care or patient satisfaction. Second-level categorization (axial coding) included patients' feelings regarding each of the five care dimensions that are the subcategories of the previous categories. These feelings could be positive, negative, neutral or they may feel indifferent. The final stage of data analysis was selective coding categorization containing direct comments for each category. This third-level categorization contains specific dimensions of nursing and medical care such as: patients' respect as a human being, staff technical skills, staff effective communication, therapeutic touch and empathy. Discussion: Our findings support the need to develop a conceptual framework for patients' satisfaction interpretation, based on their own quality of care assumptions. This is the first step for the development of a valid and reliable scale for measuring quality of care. Fri, 29 Oct 2004 22:58:59 GMT