The Effect of Clinical and Demographic Factors on Quality of Life in End-Stage Renal Disease. A Multicenter Cross-Sectional Study

The aim of this study was to assess the quality of life (QoL) in end-stage renal disease (ESRD) patients undergoing hemodialysis and to examine the clinical and demographic attributes associated with it. This is a multicenter, cross-sectional study, conducted in 2018, in which 367 patients with ESRD undergoing hemodialysis were recruited. Data were collected through a two-part anonymous, self-completed questionnaire. The first part contained questions regarding demographic, social, and clinical information, and the Greek version of Missoula–Vitas Quality of Life Index-15 (MVQoL-15) scale was used to assess QoL. Descriptive and inferential statistical methods were applied. All reported p-values were two-tailed, and the statistical significance level was set at 0.05. Of the study participants, 62.1% were male, with a mean age of 61.80 ±15.11. Of the participants, 67.3% were living in urban areas and 59.1% were married. The majority of the Hemodialysis (HD) patients evaluated possessively all the domains of MVQoL except the wellbeing Domain. QoL was found to be influenced, among others, by age (0.001), occupation (0.002), education (0.003), and additional health problems (<0.001). The role of patient characteristics in QoL is an area of interest, and early and proper intervention is important to enhance QoL

Professionalism among nurses in Malaysia : Does it exist?

Professionalism has been discussed among nurses for years. Nursing in Malaysia also experiences a gradual progression toward professionalism despite the rapid development of nursing education. Anecdotally, every nurse will rather admit that they are professional. However, there might be a possibility of speaking of it rather than doing it. This paper explores the existence of professionalism among nurses in Malaysia empirically and discusses pertinent research and/or studies that were conducted within the Malaysia context in the recent years. Numerous literature pertinent to professionalism in nursing were discussed. Several pertinent papers explored and discussed diversely in the context of professionalism in nursing nevertheless mainly conceived from the western countries’ perspectives. Furthermore, a marginalized amount of literature discuss professionalism in nursing within Malaysia context. This paper is likely to suggest the need to amplify the needs of researching the existence of professionalism in nursing practice and to reinstate the significance of the elements of professionalism among nurses in Malaysia in education and practice. KEYWORDS: Professionalism, nursing, Malaysi

Alcohol Use and Mental Health Status Among University Students in Greece

Alcohol abuse is a common incident in college student’s communities. The purpose of this research study was to evaluate the rates of alcohol use among university students in Greece and to search if there is a relation between alcohol use disorders and mental health status (depression, anxiety, stress)

Emotional Intelligence and Caring Behaviors of Mental Health Nurses in Greece

The purpose of this descriptive study of correlation of the synchronic type is to investigate the level of Emotional Intelligence (EQ) and Caring Behaviors exhibited by nurses in mental health, as well as the relationship with their individual characteristics

Impact of job burnout on mental health among social workers in public and private sector in Greece

Purpose: This study examines the impact of job burnout on the social workers’ mental health in public and private sector. Material and Method: A descriptive, cross-sectional study was conducted in which 103 social workers who were working in public (n=56) and private (n=47) sector of the Thessaly region in Greece. Data were collected with a questionnaire including socio-demographic and work-related characteristics, the Maslach Burnout Inventory - Human Services Survey (MBI-HSS) and the General Health Questionnaire (GHQ-28). Independent t-test, anova and Pearson coefficient were used in statistical analysis. Results: Emotional exhaustion was positively related to somatic symptoms (r=0.470, p<0.001), anxiety/insomnia (r=0.429, p<0.001), social dysfunction (r=0.365, p<0.001), depression (r=0.252, p=0.010) and overall mental burden (r=0.518, p<0.001) of social workers. Personal achievements were negatively related to somatic symptoms (r=-0.326, p=0.001), anxiety/insomnia (r=-0.266, p=0.007), social dysfunction (r=-0.321, p=0.001), depression (r=-0.444, p<0.001) and overall mental burden (r=-0.444, p<0.001). Also, depersonalization was positively associated with somatic symptoms (r=0.218, p=0.027), anxiety/insomnia (r=0.317, p=0.001) and overall mental burden (r=0.258, p=0.009). Conclusion: All dimensions of burnout had a significant effect on mental health disorders of social workers in labo

Assessment of psychological distress in university students: A Quantitative study

Introduction: Psychological health is the expression of harmonic expression ofhuman’s personality and is often disrupted by multiple factors. Especially duringacademic years human has to confront various stressful situations that endanger hisPsychological health.Purpose: This study aims to assess psychological distress in university students and toexamine possible factors that are associated with it.Material and Methods: A cross sectional study was conducted in which 206 universitystudents were participated. Data were collected by the Hospital Anxiety and DepressionScale, HADS and a sheet contain information regarding demographic, social andacademic background special design for the purpose of the study. Spss v. 21 was usedfor analyzing data and the signicant level was set in p?0,05.Results: From the total of 206 students 76,2% were women (n=157) and 23,8% weremen with a mean age 30.1 ±7.15. Anxiety symptoms were negative associated withcohabitation and marital status (p=.019 and p=.001 respectively). While place ofresidence was also negative associated (p=.000).While monthly income and duration ofwere associated with the experience of anxiety symptoms. One the other handdepression was associated with sex (p=.004) place of residence and origins of students(p=.038 and p=.058 respectively). Finally the number of uncompleted courses andsexual preferences were associated with depression to (p=.009).Conclusions: Within the context of student life that is characterized by anxiety, crises ofinterpersonal relationships and uncertainty maintaining student’s mental health andwellbeing must be a top propriety among university services

A cross-sectional study for the impact of coping strategies on mental health disorders among psychiatric nurses

Several studies report that psychiatric nursing is a highly stressful occupation. The ways that nurses use in order to deal with stressful situations have a serious effect on their psychological mood and their health status. The purpose of this study was to investigate the coping strategies in predicting of depression and anxiety among mental health nurses working in public psychiatric hospitals. A descriptive, cross-sectional study was conducted in Athens, Greece from April to May 2017. A questionnaire consisting of the socio-demographic and work-related characteristics, the Patient Health Questionnaire-2, the Generalized Anxiety Disorder-2, and the 38-items Ways of Coping Questionnaire - Greek version, was completed by a total of 110 mental health nurses. Univariate and multivariate analyses were performed using the logistic regression model. Coping strategies focused on the problem (positive re-evaluation, positive approach, problem solving, and seeking social support) were the most commonly used by the mental health nurses. Strategies focused on emotion (prayer/daydream, prayer, avoidance/escape, resignation, and denial) were positively associated with depression and anxiety outcomes. Also, the coping skills of problem solving (Adjusted Odds Ratio, AOR=0.402), and seeking social support (AOR=3.719) were significant predictors only for elevated anxiety symptoms. The results from the study demonstrated the importance of coping behaviours in mental health problems of psychiatric nurses

Greek Nurses' Perception of Hospital Ethical Climate: A Cross-Sectional Study

The present study aimed to examine Greek nurses’ perceptions about hospital ethical climate and to investigate the possible difference of those perceptions regarding their demographic and work-related characteristics. The cross-sectional study design was employed in this study in which 286 nurses and nurse assistants participated. Data were collected by a sheet containing demographic and work-related characteristics and the Greek version of Oslons’ Hospital Ethical Climate Scale. IBM Statistical Package for Social Sciences 25 was used in data analysis. Frequencies, means, percentages, and standard deviations summarized the data. For the statistical differences, parametric tests were performed. Independent Samples t and Pearson correlation analysis were used to determine the relationship between the ethical climate of the hospital and the nurses’ characteristics. The p-values 0.05 were considered statistically significant. The mean age of the nurses was 44 years (SD: 8.5 years; range 24–66 years). The majority of them were women (77.3%). A percent of 57.7% of the sample was married. Most positive perceptions were concerning managers (4.01) following by peers (3.82), patients (3.69), hospital (3.29) while the least positive perceptions of the ethical climate were concerning the physicians (3.16). The factors associated with hospital ethical perception were: working experience and responsible position. The highest score of ethical climate reported to Managers subscale, while the minimum score was related to Physicians. In general, Greek nurses reported positive perceptions regarding hospital ethical climate. The positive ethical climate is associated with a better working environment, fewer nurses’ experience of moral distress, fewer chances for nursing turnover, high quality of nursing care, and fewer errors in nursing practice

The safety, health, and well-being of healthcare workers during COVID-19: A scoping review

The outbreak of the COVID-19 pandemic has affected the safety and well-being of healthcare workers. A scoping review was conducted to highlight the impact of COVID-19 on the safety, health, and well-being of healthcare workers and to shed light on the concerns about their perceived safety and support systems. A literature search was conducted in three different databases from December 1, 2019, through July 20, 2022, to find publications that meet the aim of this review. Using search engines, 3087 articles were identified, and after a rigorous assessment by two reviewers, 30 articles were chosen for further analysis. Two themes emerged during the analysis: safety and health and well-being. The primary safety concern of the staff was mostly about contracting COVID-19, infecting family members, and caring for patients with COVID-19. During the pandemic, the health care workers appeared to have anxiety, stress, uncertainty, burnout, and a lack of sleep. Additionally, the review focused on the suggestions of health care providers to improve the safety and well-being of workers through fair organizational policies and practices and timely, individualized mental health care

Goodbye Hartmann trial: a prospective, international, multicenter, observational study on the current use of a surgical procedure developed a century ago

Background: Literature suggests colonic resection and primary anastomosis (RPA) instead of Hartmann's procedure (HP) for the treatment of left-sided colonic emergencies. We aim to evaluate the surgical options globally used to treat patients with acute left-sided colonic emergencies and the factors that leading to the choice of treatment, comparing HP and RPA. Methods: This is a prospective, international, multicenter, observational study registered on ClinicalTrials.gov. A total 1215 patients with left-sided colonic emergencies who required surgery were included from 204 centers during the period of March 1, 2020, to May 31, 2020. with a 1-year follow-up. Results: 564 patients (43.1%) were females. The mean age was 65.9 ± 15.6 years. HP was performed in 697 (57.3%) patients and RPA in 384 (31.6%) cases. Complicated acute diverticulitis was the most common cause of left-sided colonic emergencies (40.2%), followed by colorectal malignancy (36.6%). Severe complications (Clavien-Dindo ≥ 3b) were higher in the HP group (P < 0.001). 30-day mortality was higher in HP patients (13.7%), especially in case of bowel perforation and diffused peritonitis. 1-year follow-up showed no differences on ostomy reversal rate between HP and RPA. (P = 0.127). A backward likelihood logistic regression model showed that RPA was preferred in younger patients, having low ASA score (≤ 3), in case of large bowel obstruction, absence of colonic ischemia, longer time from admission to surgery, operating early at the day working hours, by a surgeon who performed more than 50 colorectal resections. Conclusions: After 100 years since the first Hartmann's procedure, HP remains the most common treatment for left-sided colorectal emergencies. Treatment's choice depends on patient characteristics, the time of surgery and the experience of the surgeon. RPA should be considered as the gold standard for surgery, with HP being an exception