Advances in Experimental Medicine and Biology, 2023
Introduction: Nursing professional is considered to be stressful with impact on nurses' mental he... more Introduction: Nursing professional is considered to be stressful with impact on nurses' mental health.
Aim: The aim of this study was to investigate the effect of coping strategies and psychological resilience on anxiety and depression among nurses.
Methods: In this descriptive and cross-sectional study, 378 nurses from two hospitals (a general and a psychiatric) in Greece completed the Patient Health Questionnaire-2 (PHQ-2), the Generalized Anxiety Disorder-2 (GAD-2), the Connor-Davidson Resilience Scale 25 (CD-RISC 25), and the Ways of Coping Questionnaire for evaluating the depression, anxiety, psychological resilience, and coping strategies, respectively. The study was carried out between October and December of 2019. Statistical analysis was performed with JASP version 0.14.01 and significance for all statistical tests was set at 0.05 or less.
Results: Psychological resilience was significantly correlated with anxiety (r = -0.127, p = 0.014), Positive approach (r = -0.466, p<0.001), Seeking social support (r = -0.228, p < 0.001), Avoidance/Escape (r = -0.121, p = 0.020). Anxiety was positively correlated with Seeking social support (r = -0.112, p = 0.030), Prayer/Daydream (r = -0.132, p = 0.030), Avoidance/Escape (r = -0.164, p < 0.001), and Assertive problem solving (r =-0.195, p < 0.0010). Psychological resilience, Avoidance, and Assertive problem-solving were significant predictors of increasing of anxiety (β = -0.128, p = 0.013, β = 0.130, p = 0.027, β = 0.131, p = 0.020, respectively). Avoidance (β = 0.209, p < 0.001) and age (β = 0.208, p = 0.029) were significant predictors of depression.
Conclusions: Psychological resilience and coping strategies have a significant effect on nurses' mental health.
Introduction: The international literature presents a significant gap in the study of the factors... more Introduction: The international literature presents a significant gap in the study of the factors affecting caring behaviors as perceived by nurses. This gap requires the study of the factors of nurses' caring behavior. Aim: The translation and the cultural adaptation of the Factors of Nurses Caring Behaviors (FNCB) scale in the Greek language, the validity, and internal consistency of the scale. Methods: Between November- December 2019, 329 Greek nurses from six public general hospitals completed the FNCB scale consisting of 32 items rating on a 5-point Likert scale. The scale was firstly translated in the Greek language, then back-translated in the English language and culturally adapted. To investigate the construct validity of the scale, exploratory factor analysis was carried out with principal component analysis. The test-retest reliability was performed while the internal consistency was checked through Cronbach's alpha coefficient. Statistical analysis was performed via the Statistical Program SPSS version 21.0. The statistical significance level was set up at 0.05. Results: The final Greek version of the FNCB Scale includes six factors which were revealed from the exploratory factor analysis: Workplace Circumstances, Workload/Management, Interest/Perceptions on Nursing Job,Nurse's Educational Background, Patient's Demographic Characteristics, and Patient's Clinical Characteristics. The internal consistency of the scale was excellent (Cronbach's alpha 0.95). Conclusions: The Greek version of the FNCB Scale is a valid and reliable questionnaire which can be used for the measure of factors affecting nurses' caring behavior.
Background: Advanced cancer patients experience several physical or psychological symptoms which ... more Background: Advanced cancer patients experience several physical or psychological symptoms which require palliative care for alleviation. Purpose: To assess the prevalence and intensity of symptoms among cancer patients receiving palliative care in a Greek hospital and to examine the association between reported symptoms and social clinical and demographic characteristics. Material-methods: This descriptive research was conducted during a sixmonth period using a convenient sample of 123 advanced cancer patients. All participants were assessed for their symptoms using the Edmonton Symptom Assessment System (ESAS) with a questionnaire covering demographic and clinical characteristics. Results: The mean age was 63.8± 10.8 years, with lung and breast (58.5% and 11.4%, respectively) as the most common primary cancer types. The most severe symptoms were fatigue, sleep disturbance, dyspnea, depression and anxiety. Negative correlations were revealed between age and the following symptoms: pain (r = -0.354, p = 0.001), fatigue (r = -0.280, p = 0.002), nausea (r = -0.178, p = 0.049), anorexia (r = -0.188, p = 0.038), dyspnea (r = -0.251, p = 0.005), and depression (r = -0.223, p = 0.013). Advanced breast cancer patients scored higher in pain, fatigue and dyspnea compared to those with other cancers. Conclusions: Hospitalized cancer patients in Greece experience several symptoms during the last months of their life. These are influenced by demographic characteristics. Appropriate interventions are strongly advised with appropriate recognition and evaluation of symptoms by health professionals.
International journal of reliable and quality e-healthcare, 2021
Doctors are in continuous interaction with patients which leads to burnout syndrome. The purpose ... more Doctors are in continuous interaction with patients which leads to burnout syndrome. The purpose of this study was to investigate the levels of burnout syndrome among doctors and the role of medical specialty. Doctors (N=214) of various specialties and positions from two public hospitals completed the Maslach burnout inventory (MBI) which measures the burnout syndrome and its dimensions. Demographic and professional data were recorded. Data were analyzed via the IBM SPSS Statistics Version 21. The significance level was set at 0.05%. The overall index in the provincial hospital ranged at 2.13 while in the university at 2.07 (p=0.65). No significant statistical differences were observed between two hospitals regarding the dimensions of MBI. Internists showed lower level of personal accomplishment (Mean: 3.86, p=0.015) compared to all other specialties (Mean: 4.22, p=0.015). There was no significant statistical difference in the overall rate of burnout syndrome among the two hospitals, which was low for both hospitals. The factor “specialty” had an important effect on burnout syndrome.
From the mid-'80s, the phenomenon of increasing cases of tuberculosis (TB), due to immigratio... more From the mid-'80s, the phenomenon of increasing cases of tuberculosis (TB), due to immigration, in developed low prevalence of disease countries, is illustrated by many studies. The particular characteristics of the disease makes the treatment from National Health Systems as a matter of highest interest and the in-depth study of the phenomenon at the level of prevention, diagnosis, treatment and control as urgent. The aim of the study was to review the literature about the prevalence of TB due to immigration to European countries. The methodology of work included search of epidemiologic studies in the electronic data base Pub Med that was reported in the increase of tuberculosis cases because immigration in European countries. The search covers the period 1980-2008 and the words used were: “epidemiology”, “resurgence”, “tuberculosis”, “immigrants”, “Europe”. Results: In all studies was observed increase of frequency of TB in migrants compared with local populations and independent rate of disease transmission. Higher rates of disease were immigrants from Africa, Asia and Eastern Europe. The low socioeconomic level of migrants, drug and alcohol abuse, increased incidence of AIDS, increasing antimicrobial resistance and multi-management, delay in diagnosis and social problems
Background: Patients' compliance consists a complex and multidimensional health issue, global... more Background: Patients' compliance consists a complex and multidimensional health issue, globally. At least three terms are used to describe the behavior of medication- taking. Aim: The aim of the present study was to review a conceptual analysis of patients' compliance to treatment. Method and Material: The methodology included research of studies published in electronic databases such as Pub Med, Medline, WHO, PsychInfo, Cochrane National Council on Patient Information and Education and Dovepress. The search covered the period 1970-2011. Results: Literature includes terminology analysis of terms 'patients' compliance and non-compliance', 'patients' adherence and non-adherence' and 'patients' concordance'. Approximately 115 articles were identified. The present sample comprises 43 articles analyzing the terminology of these terms. 11 of these are mentioned in the attitude of Nursing Science to the controversy about the terms. Conclusions: Compliance can be defined in various ways. The interpretation of the term depends on the philosophical context in which the concept is settled. The patient-centered approach facilitates the creation of an alliance between patient-therapist.
Advances in Experimental Medicine and Biology, 2023
Introduction: Nursing professional is considered to be stressful with impact on nurses' mental he... more Introduction: Nursing professional is considered to be stressful with impact on nurses' mental health.
Aim: The aim of this study was to investigate the effect of coping strategies and psychological resilience on anxiety and depression among nurses.
Methods: In this descriptive and cross-sectional study, 378 nurses from two hospitals (a general and a psychiatric) in Greece completed the Patient Health Questionnaire-2 (PHQ-2), the Generalized Anxiety Disorder-2 (GAD-2), the Connor-Davidson Resilience Scale 25 (CD-RISC 25), and the Ways of Coping Questionnaire for evaluating the depression, anxiety, psychological resilience, and coping strategies, respectively. The study was carried out between October and December of 2019. Statistical analysis was performed with JASP version 0.14.01 and significance for all statistical tests was set at 0.05 or less.
Results: Psychological resilience was significantly correlated with anxiety (r = -0.127, p = 0.014), Positive approach (r = -0.466, p<0.001), Seeking social support (r = -0.228, p < 0.001), Avoidance/Escape (r = -0.121, p = 0.020). Anxiety was positively correlated with Seeking social support (r = -0.112, p = 0.030), Prayer/Daydream (r = -0.132, p = 0.030), Avoidance/Escape (r = -0.164, p < 0.001), and Assertive problem solving (r =-0.195, p < 0.0010). Psychological resilience, Avoidance, and Assertive problem-solving were significant predictors of increasing of anxiety (β = -0.128, p = 0.013, β = 0.130, p = 0.027, β = 0.131, p = 0.020, respectively). Avoidance (β = 0.209, p < 0.001) and age (β = 0.208, p = 0.029) were significant predictors of depression.
Conclusions: Psychological resilience and coping strategies have a significant effect on nurses' mental health.
Introduction: The international literature presents a significant gap in the study of the factors... more Introduction: The international literature presents a significant gap in the study of the factors affecting caring behaviors as perceived by nurses. This gap requires the study of the factors of nurses' caring behavior. Aim: The translation and the cultural adaptation of the Factors of Nurses Caring Behaviors (FNCB) scale in the Greek language, the validity, and internal consistency of the scale. Methods: Between November- December 2019, 329 Greek nurses from six public general hospitals completed the FNCB scale consisting of 32 items rating on a 5-point Likert scale. The scale was firstly translated in the Greek language, then back-translated in the English language and culturally adapted. To investigate the construct validity of the scale, exploratory factor analysis was carried out with principal component analysis. The test-retest reliability was performed while the internal consistency was checked through Cronbach's alpha coefficient. Statistical analysis was performed via the Statistical Program SPSS version 21.0. The statistical significance level was set up at 0.05. Results: The final Greek version of the FNCB Scale includes six factors which were revealed from the exploratory factor analysis: Workplace Circumstances, Workload/Management, Interest/Perceptions on Nursing Job,Nurse's Educational Background, Patient's Demographic Characteristics, and Patient's Clinical Characteristics. The internal consistency of the scale was excellent (Cronbach's alpha 0.95). Conclusions: The Greek version of the FNCB Scale is a valid and reliable questionnaire which can be used for the measure of factors affecting nurses' caring behavior.
Background: Advanced cancer patients experience several physical or psychological symptoms which ... more Background: Advanced cancer patients experience several physical or psychological symptoms which require palliative care for alleviation. Purpose: To assess the prevalence and intensity of symptoms among cancer patients receiving palliative care in a Greek hospital and to examine the association between reported symptoms and social clinical and demographic characteristics. Material-methods: This descriptive research was conducted during a sixmonth period using a convenient sample of 123 advanced cancer patients. All participants were assessed for their symptoms using the Edmonton Symptom Assessment System (ESAS) with a questionnaire covering demographic and clinical characteristics. Results: The mean age was 63.8± 10.8 years, with lung and breast (58.5% and 11.4%, respectively) as the most common primary cancer types. The most severe symptoms were fatigue, sleep disturbance, dyspnea, depression and anxiety. Negative correlations were revealed between age and the following symptoms: pain (r = -0.354, p = 0.001), fatigue (r = -0.280, p = 0.002), nausea (r = -0.178, p = 0.049), anorexia (r = -0.188, p = 0.038), dyspnea (r = -0.251, p = 0.005), and depression (r = -0.223, p = 0.013). Advanced breast cancer patients scored higher in pain, fatigue and dyspnea compared to those with other cancers. Conclusions: Hospitalized cancer patients in Greece experience several symptoms during the last months of their life. These are influenced by demographic characteristics. Appropriate interventions are strongly advised with appropriate recognition and evaluation of symptoms by health professionals.
International journal of reliable and quality e-healthcare, 2021
Doctors are in continuous interaction with patients which leads to burnout syndrome. The purpose ... more Doctors are in continuous interaction with patients which leads to burnout syndrome. The purpose of this study was to investigate the levels of burnout syndrome among doctors and the role of medical specialty. Doctors (N=214) of various specialties and positions from two public hospitals completed the Maslach burnout inventory (MBI) which measures the burnout syndrome and its dimensions. Demographic and professional data were recorded. Data were analyzed via the IBM SPSS Statistics Version 21. The significance level was set at 0.05%. The overall index in the provincial hospital ranged at 2.13 while in the university at 2.07 (p=0.65). No significant statistical differences were observed between two hospitals regarding the dimensions of MBI. Internists showed lower level of personal accomplishment (Mean: 3.86, p=0.015) compared to all other specialties (Mean: 4.22, p=0.015). There was no significant statistical difference in the overall rate of burnout syndrome among the two hospitals, which was low for both hospitals. The factor “specialty” had an important effect on burnout syndrome.
From the mid-'80s, the phenomenon of increasing cases of tuberculosis (TB), due to immigratio... more From the mid-'80s, the phenomenon of increasing cases of tuberculosis (TB), due to immigration, in developed low prevalence of disease countries, is illustrated by many studies. The particular characteristics of the disease makes the treatment from National Health Systems as a matter of highest interest and the in-depth study of the phenomenon at the level of prevention, diagnosis, treatment and control as urgent. The aim of the study was to review the literature about the prevalence of TB due to immigration to European countries. The methodology of work included search of epidemiologic studies in the electronic data base Pub Med that was reported in the increase of tuberculosis cases because immigration in European countries. The search covers the period 1980-2008 and the words used were: “epidemiology”, “resurgence”, “tuberculosis”, “immigrants”, “Europe”. Results: In all studies was observed increase of frequency of TB in migrants compared with local populations and independent rate of disease transmission. Higher rates of disease were immigrants from Africa, Asia and Eastern Europe. The low socioeconomic level of migrants, drug and alcohol abuse, increased incidence of AIDS, increasing antimicrobial resistance and multi-management, delay in diagnosis and social problems
Background: Patients' compliance consists a complex and multidimensional health issue, global... more Background: Patients' compliance consists a complex and multidimensional health issue, globally. At least three terms are used to describe the behavior of medication- taking. Aim: The aim of the present study was to review a conceptual analysis of patients' compliance to treatment. Method and Material: The methodology included research of studies published in electronic databases such as Pub Med, Medline, WHO, PsychInfo, Cochrane National Council on Patient Information and Education and Dovepress. The search covered the period 1970-2011. Results: Literature includes terminology analysis of terms 'patients' compliance and non-compliance', 'patients' adherence and non-adherence' and 'patients' concordance'. Approximately 115 articles were identified. The present sample comprises 43 articles analyzing the terminology of these terms. 11 of these are mentioned in the attitude of Nursing Science to the controversy about the terms. Conclusions: Compliance can be defined in various ways. The interpretation of the term depends on the philosophical context in which the concept is settled. The patient-centered approach facilitates the creation of an alliance between patient-therapist.
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Aim: The aim of this study was to investigate the effect of coping strategies and psychological resilience on anxiety and depression among nurses.
Methods: In this descriptive and cross-sectional study, 378 nurses from two hospitals (a general and a psychiatric) in Greece completed the Patient Health Questionnaire-2 (PHQ-2), the Generalized Anxiety Disorder-2 (GAD-2), the Connor-Davidson Resilience Scale 25 (CD-RISC 25), and the Ways of Coping Questionnaire for evaluating the depression, anxiety, psychological resilience, and coping strategies, respectively. The study was carried out between October and December of 2019. Statistical analysis was performed with JASP version 0.14.01 and significance for all statistical tests was set at 0.05 or less.
Results: Psychological resilience was significantly correlated with anxiety (r = -0.127, p = 0.014), Positive approach (r = -0.466, p<0.001), Seeking social support (r = -0.228, p < 0.001), Avoidance/Escape (r = -0.121, p = 0.020). Anxiety was positively correlated with Seeking social support (r = -0.112, p = 0.030), Prayer/Daydream (r = -0.132, p = 0.030), Avoidance/Escape (r = -0.164, p < 0.001), and Assertive problem solving (r =-0.195, p < 0.0010). Psychological resilience, Avoidance, and Assertive problem-solving were significant predictors of increasing of anxiety (β = -0.128, p = 0.013, β = 0.130, p = 0.027, β = 0.131, p = 0.020, respectively). Avoidance (β = 0.209, p < 0.001) and age (β = 0.208, p = 0.029) were significant predictors of depression.
Conclusions: Psychological resilience and coping strategies have a significant effect on nurses' mental health.
Aim: The aim of this study was to investigate the effect of coping strategies and psychological resilience on anxiety and depression among nurses.
Methods: In this descriptive and cross-sectional study, 378 nurses from two hospitals (a general and a psychiatric) in Greece completed the Patient Health Questionnaire-2 (PHQ-2), the Generalized Anxiety Disorder-2 (GAD-2), the Connor-Davidson Resilience Scale 25 (CD-RISC 25), and the Ways of Coping Questionnaire for evaluating the depression, anxiety, psychological resilience, and coping strategies, respectively. The study was carried out between October and December of 2019. Statistical analysis was performed with JASP version 0.14.01 and significance for all statistical tests was set at 0.05 or less.
Results: Psychological resilience was significantly correlated with anxiety (r = -0.127, p = 0.014), Positive approach (r = -0.466, p<0.001), Seeking social support (r = -0.228, p < 0.001), Avoidance/Escape (r = -0.121, p = 0.020). Anxiety was positively correlated with Seeking social support (r = -0.112, p = 0.030), Prayer/Daydream (r = -0.132, p = 0.030), Avoidance/Escape (r = -0.164, p < 0.001), and Assertive problem solving (r =-0.195, p < 0.0010). Psychological resilience, Avoidance, and Assertive problem-solving were significant predictors of increasing of anxiety (β = -0.128, p = 0.013, β = 0.130, p = 0.027, β = 0.131, p = 0.020, respectively). Avoidance (β = 0.209, p < 0.001) and age (β = 0.208, p = 0.029) were significant predictors of depression.
Conclusions: Psychological resilience and coping strategies have a significant effect on nurses' mental health.