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1ΤΕΥΧΟΣ/ISSUE 39
SCIENTIFIC JOURNAL, 3 ISSUES PER YEAR MAY - AUGUST 2014
Published by the Greek
Nursing Studies
Association (GNSA)
ISSUE
39
Scientific Journal, 3 Issues per Year
MAY - AUGUST 2014
Published by the Greek
Nursing Studies Association
(GNSA)
Nursing
Care AND
Research
AΠΟΔΕΛΤΙΏΝΕΤΑΙ ΣΤΙΣ ΒΆΣΕΙΣ
SCOPUS, ΕΒSCO, CINAHL
INDEXED IN SCOPUS, ΕΒSCO, CINAHL
ΕΚΔΟΣΕΙΣ
οσελότος
ISSN 22413960
•	 Gender Differences in Informal Care
•	 Prevalence of depression among elderly population of
a district nursing home and their satisfaction from the
nursing care provided
•	 The parental adaption to chronic illness and
the factors that may affect it
•	 Hope in patients with hematological malignancy
in different phases of their disease and during the phase
of hematopoietic stem cell transplantation.
A literature review
•	 Multidimensional Innovative Guide for the
Performance of Hospitals «H.E.P.G.G» :
a Pilot Study on the 6th Health Department
2
3ΤΕΥΧΟΣ/ISSUE 39
Scientific Journal, 3 Issues per Year
Published by the Greek Nursing Studies Association (GNSA)
Nursing
Care AND Research
EDITOR-IN-CHIEF
Chryssoula Lemonidou, RN, MSc, PhD, Professor
of Nursing, University of Athens
CO-EDITORS
Eleni Apostolopoulou, RN, PhD, Professor of Nursing,
University of Athens
Ioannis Elefsiniotis, PhD, Assistant Professor, Faculty of
Nursing, University of Athens
Panagiota Sourtzi, RN, MSc, PhD, Professor, Faculty of
Nursing, University of Athens
EDITORIAL BOARD
Lambros Anthopoulos, Emeritus Professor, Faculty of
Nursing, University of Athens
George Baltopoulos, PhD, Professor, Faculty of Nurs-
ing, University of Athens
Thalia Bellali, RN, MSc, PhD, Associate Professor of
Nursing, Technological Educational Institute of Thes-
saloniki
Konstantinos Birbas, PhD, Associate Professor, Faculty
of Nursing, University of Athens
Gerasimos Bonatsos, PhD, Professor, Faculty of Nurs-
ing, University of Athens
Charalambos Economou, Associate Professor, Depart-
ment of Sociology, Panteion University,
Margarita Giannakopoulou, MSc, PhD, Associate Pro-
fessor, Faculty of Nursing, University of Athens
Leonidas Grigorakos, Associate Professor, Faculty of
Nursing, University of Athens
Dafni Kaitelidou, MSc, PhD, Assistant Professor, Faculty
of Nursing, University of Athens
Ioannis Kaklamanos, PhD, Associate Professor, Faculty
of Nursing, University of Athens
Maria Kalafati, RN, MSc, PhD, Faculty of Nursing, Uni-
versity of Athens
Athina Kalokerinou, RN, PhD, Professor of Nursing, Fac-
ulty of Nursing, University of Athens
Evangelos Konstantinou, RN, MSc, PhD, Associate
Professor, Faculty of Nursing, University of Athens
Vassiliki Matziou, RN, PhD, Professor, Faculty of Nurs-
ing, University of Athens
Pavlos Myrianthefs, PhD, Associate Professor, Faculty
of Nursing, University of Athens
Elisabeth Patiraki, RN, PhD, Professor, Faculty of
Nursing, University of Athens
Sotiris Plakas, RN, MSc, PhD, General Hospital of At-
tika «Sismanoglion»
Olga Siskou, RN, MSc, PhD, Faculty of Nursing, Uni-
versity of Athens, President of the Greek Nursing
Studies Association
EleniTheodossopoulou, Professor, Faculty of Nurs-
ing, University of Athens
INTERNATIONAL EDITORIAL BOARD
John Albarran, Principal Lecturer in Critical Care
Nursing, University of the West of England, Bris-
tol, UK
Maria Katopodi, PhD, Assistant Professor, University
of Michigan, USA
Katerina Labrinou, PhD, Assistant Professor in Nurs-
ing, Cyprus University of Technology
Anastasia Mallidou, RN, MSc, PhD, Assistant
Professor, University of Victoria, Canada
Anastasios Merkouris, RN, MSc, PhD, Associate
Professor of Nursing, Faculty of Nursing, Cyprus
University of Technology
Evridiki Papastavrou, PhD, Assistant Professor in
Nursing, Cyprus University of Technology
Elisabeth D.E. Papathanassoglou, RN, MSc, PhD,
Associate Professor, Faculty of Nursing, Cyprus
University of Technology
Julie Scholes, Professor of Nursing, University of
Brighton, Brighton, UK
Riita Suhonen, RN, PhD, Profes sor, University of
Turku, Department of Nursing Science, Turku,
Finland
4
5ΤΕΥΧΟΣ/ISSUE 39
Contents
NursingCare AND Research
Published by the Greek Nursing Studies Association (GNSA)
Publisher and Editor-in-Chief: Chryssoula Lemonidou
Address: 123, Papadiamantopoulou st., 115 27 - Athens, GREECE
Tel.: +30 210-7461485
e-mail: info@nursingstudies.gr
Technical publisher: Ocelotos publishing
Annual Subscriptions 2012 for Εlectronic Version
Public Services, Libraries, Companies, Organisations: € 30,00
Individual Subscriptions: € 20,00
©	Copyright 2007 - 2014: All rights reserved. The reproduction of articles (or parts of them) is
prohibited without permission of the publisher and the writers.
Instructions to Authors���������������������������������������������������������������������78
EDITORIAL:
Gender Differences in Informal Care������������������������������ 85
O. Govina
SPECIAL ISSUE
Multidimensional Innovative Guide for the
Performance of Hospitals «H.E.P.G.G»:
a Pilot Study on the 6th Health Department������������������� 89
M. Zafiropoulou, K. Avgeridis, Th. Seremetis, M. Katela
ORIGINAL PAPERS
Prevalence of depression among elderly population
of a district nursing home and their satisfaction
from the nursing care provided ������������������������������������� 99
Ch. Tika, M. Tsironi, P. Prezerakos, S. Tziaferi, F. Babatsikou,
P. Kolovos, S. Zyga
The parental adaption to chronic illness and
the factors that may affect it��������������������������������������������� 121
E. Karamoutsiou, P. Perdikaris
REVIEW
Hope in patients with hematological malignancy
in different phases of their disease and during the
phase of hematopoietic stem cell transplantation.
A literature review ����������������������������������������������������������������131
S. Tsaroucha, E. Patiraki
6
GENERAL INFORMATION
1. “Nursing Care and Research” publishes, fol-
lowing peer review, articles in Greek or English,
contributing to the understanding and devel-
opment of all aspects of nursing care. The Ed-
itorial Department receives manuscripts relat-
ing to nursing practice, research, education
and management, with scientific, theoretical
or philosophical basis.
2. Papers published in the journal belong to
one of the following categories: a) research
studies, b) literature reviews and c) articles re-
lating to developments in nursing practice,
education and management. Additionally, let-
ters (no longer than 500 words), including re-
views or comments on previously published
work, are published if submitted within two (2)
months from the publication of the research
concerned.
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ly to the “Nursing Care and Research” journal,
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consent.
Authors should avoid submitting two man-
uscripts from the same study without clear
justification. Also, they should not include in
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(eg avoidance of self-plagiarism). In the event
that two papers emerge from the same re-
search study, presenting different aspects of
the work at hand, they must be submitted in-
dependently and not as two parts of the same
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and must not include the other, although
cross - references can be made. When a com-
plete description of the research methodology
is made in the first article a brief description is
sufficient in the the second provided the first is
adequately referenced. Generally, one should
avoid publishing numerous individual papers
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aspects and research findings within a single
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Instructions for Authors
MISSION AND AIM OF THE JOURNAL
“Nursing Care and Research” is a peer-reviewed journal accepting manuscripts from researchers
from Greece and abroad. Its mission is to contribute to the development of nursing science and
practice in Greece as well as internationally. The aim is to promote and disseminate new knowledge
and research data for eventual application in clinical practice. To this end, nurses and other affiliated
researchers are invited to submit high-calibre manuscripts in Greek or English. The journal welcomes
original research papers, reviews, theoretical or philosophical articles, interesting clinical cases and
methodological articles from experts. Nursing Care and Research is recognized at national level (FEK
issue B 1961/23-9-2008) and is indexed at the CINHAL, EBSCO and SCOPUS International Databases.
7ΤΕΥΧΟΣ/ISSUE 39
4. Author participation in the drafting pro-
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The authors of research studies cannot exceed
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8
English language and cannot exceed five (5)
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In order to ensure anonymity, the manuscript
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ADHERING TO THE HUMAN RIGHTS CODE OF
CONDUCT
Should authors publish results of studies con-
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2004. Should certain processes deviate from
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Specifically, concerning clinical studies (in-
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methodology section whether they were con-
ducted upon approval of the National Agency
9ΤΕΥΧΟΣ/ISSUE 39
for Medicines (EOF) in accordance with Minis-
terial Decision DYG 3/89292 Gazette V1973/31-
12-2003 (aligned with Directive 2001/20/EC).
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Public confidence in the peer-review process
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Authors must indicate at the end of the text
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The funding sources section is followed by
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10
should acknowledge any sponsors donating
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ic references in the text should indicate the
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erenced in the text but all authors should be
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from the journal in question.
Examples:
Williams N. (2001). Patient resuscitation follow-
ing major thermal trauma. Nursing in Critical
Care: 6: 115-121
Muller D, Harns P, Watley L. (1986). Nursing
Children: Psychology Research and Practice.
London: Harper Row.
Lewis T, Hell J. (1992). Rhabdomyolysis and
Myoglobinuria. In: Hall J, Schmidt G, Wood L.
(eds), Principles of Critical Care, Volume 2. New
York: McGraw Hill.
Websites are refencees as follows:
National Institute for Clinical Excellence (2000)
Final appraisal determination: Drugs for early
thrombolysis in the treatment of acute myo-
cardial infarction, NICE, www.nice.org.uk/ar-
ticle.asp?a =36672. Last access on 7 October
2006.
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Peer-review process
18. All submitted work is reviewed (anony-
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methodologies by a statistician as well. Re-
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case of disagreement among the reviewers,
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forwarded to the reviewers if deemed neces-
11ΤΕΥΧΟΣ/ISSUE 39
sary, and they confirm whether or not modi-
fications comply with their recommendations.
At that point the Managing Editor reaches the
final decision to publish the article.
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COPYRIGHT
20. In order to publish any article in the “Nurs-
ing Care and Research” journal, the authors are
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When a paper is derived from an extensive re-
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Subscribers preparing manuscripts for publi-
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nal are requested to adhere to these Instruc-
tions for Authors carefully in order to avoid
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publication of new volumes of the journal.
Εταιρεία Νοσηλευτικών Σπουδών
Διοικητικό Συμβούλιο Εταιρείας Νοσηλευτικών Σπουδών
	 Πρόεδρος: 	Όλγα Σίσκου
	 Αντιπρόεδρος: 	 Μαρία Καθαράκη
	 Γενική Γραμματέας: 	Μαρία Χατζοπούλου
	 Ειδική Γραμματέας: 	 Ευανθία Κωνσταντάκη
	 Ταμίας: 	 Αργυρώ Ψυχογυιού
	 Μέλη:	 Μαρία Χαρχαρίδου
		Στέλιος Κατσαραγάκης
12
Abstract
INTRODUCTION: The main idea of ​​this pilot
study is an innovative approach for the perfor-
mance of hospitals, through a manual (model-
tool) evaluation aiming to produce through in-
dicators, tables and diagrams evidence for the
effectiveness and efficiency, but also to be used
as a tool for hospital decision makers.
AIM: The purpose of this study was to develop
an innovative pilot evaluation guide «HEPGG»
(Hospital Evaluation Performance Greek Guide)
for public hospitals, adapted to Greek reality.The
aim of this guide was to combine quantitative
and qualitative indicators in accordance with the
objectives of each hospital, to calculate an over-
all percentage of performance of each hospital
and to compare the indicators in order to iden-
tify problems and new goals for each hospital.
METHOD: Initially, a theoretical study of the
evaluation of hospitals has been done and then
it has been proposed a tool based on DEA model
and the method of bootstrap, as regards purely
quantitative indicators, and the method of the
balanced score and the combination of indica-
tors as regards qualitative indicators. In the sec-
ond phase of the work, the differences of existing
evaluation models were analyzed and a general
model that would be followed and the general
breakdown of indicators was designed. The cor-
relation and weighting of indicators in the model
and the pilot implementation in the 6th Health
Department were done in the final phase of
completion of the evaluation tool.
RESULTS: The evaluation of the performance
of hospitals based on the measurement of ef-
ficiency and effectiveness by using (qualitative
and quantitative) indicators allows to better al-
locate resources and even create new goals. This
guide assesses the strengths and weaknesses of
the organization taking into account the existing
opportunities and threats.
CONCLUSIONS: This evaluation method can
be applied both to large central hospitals and
healthcare centers because it takes into account
not only their inputs and outputs, but also other
qualitative variables (satisfaction, education, se-
curity, etc.) and therefore it may easily identify
their performance.
KEYWORDS: Evaluation, hospitals, health ser-
vices, efficiency, effectiveness, performance, in-
dicators.
SPECIAL ISSUE
Multidimensional Innovative Guide for the
Performance of Hospitals «H.E.P.G.G» : a
Pilot Study on the 6th Health Department
Ζafiropoulou Maria, Phd, Expert ‘’Health Care and Social Sector’’ in the E.U.
Αvgeridis Kyriakos, Sociologist, Head of Unit ‘’European Development Projects and Service providers’’ in
the 6th YPE
Seremetis Theodoros, ICT Engineer, M.Sc. in Healthcare Management, ex head of ICT Unit in the
University Hospital of Patras
Κatela Maria, Economist, Master student of Healthcare Management in the Open University of Cyprus
13ΤΕΥΧΟΣ/ISSUE 39
Abstract
INTRODUCTION: Depression in the elderly is
considered an important public health issue.
Depression is the most common mental health
problem among older people. It poses a critical
impact on satisfaction and the quality of life of
elderly and it is related with high expenses and
great demand of health care services.
OBJECTIVE: Of this research study was to
estimate the prevalence of depression among
the elderly population of a nursing home and its
correlation with the satisfaction of the nursing
care provided.
MATERIAL AND METHOD: The sample
consisted of 180 individuals, 108 women and
72 men, aged 60 years or older, members of
a nursing home in Greece. A questionnaire
for demographics factors was used, whereas
depression was probed through Geriatric
Depression Scale, (Short Form - GDS-15), which
has been standardized and adapted in a Greek
elderly population, and satisfaction through
modified for the purpose of research evaluation
of the mood and physical symptoms scale
(MPSS). For the statistical analysis was used the
ΙΒΜ SPSS Statistics Version 19.
RESULTS: A percentage of 42,2% of the sample
had depressive symptoms. It was also shown
that depression at women (75%) appeared
in a percentage over than the double against
men (25%). The symptomatology of depression
occurred widely among the bedridden elderly,
elderly without children and visits, those with
multiple pathologies and elderly who did not
participate in social activities. Finally, elderly
with depressive symptoms were less satisfied
with the health care provided.
CONCLUSIONS: The ascertainment high
percentage of depressive symptoms and low
percentage of satisfaction among elderly
people with depression confirms the emergency
of redesigning of nursing care, providing
individualized care and improving quality of life
among these people.
KEY WORDS: Depression, elderly, satisfaction,
nursing home.
ORIGINAL PAPER
Prevalence of depression among elderly
population of a district nursing home and their
satisfaction from the nursing care provided
Ch. Tika, RN, ΜSc(c), Nursing Department, Faculty of Human Movement and Quality of Life Sciences,
University of Peloponnese, Sparta, Greece
M. Tsironi, Associate Professor, Nursing Department, Faculty of Human Movement and Quality of Life
Sciences, University of Peloponnese, Sparta, Greece
P. Prezerakos, Assistant Professor, Nursing Department, Faculty of Human Movement and Quality of Life
Sciences, University of Peloponnese, Sparta, Greece
S. Tziaferi, Lecturer, Nursing Department, Faculty of Human Movement and Quality of Life Sciences,
University of Peloponnese, Sparta, Greece
F. Babatsikou, Associate Professor, Nursing Department A΄, Technological Educational Institute (TEI) of
Athens, Athens, Greece
P.Kolovos,TeachingStaff,NursingDepartment,FacultyofHumanMovementandQualityofLifeSciences,
University of Peloponnese, Sparta, Greece
S. Zyga, Assistant Professor, Nursing Department, Faculty of Human Movement and Quality of Life
Sciences, University of Peloponnese, Sparta, Greece
Correspondence:
Tika Chrysi, RN, MSc(c), Nursing Department, Faculty of Human Movement and Quality of Life Services,
University of Peloponnese
Address:Dimokratias1, Eleousa Ioanninon, 45500, Ioannina, Greece, E-mail: xrissatika@hotmail.com
14
Abstract
BACKGROUND: Pediatric cancer significantly af-
fects young patients’life, as well as their families,
resulting in troubles regarding parental adap-
tion to chronic illness.
AIM: To assess parental adaption to chronic ill-
ness and the factors that may affect it.
METHODOLOGY: The sample consisted of 46
parents whom children were suffering from can-
cer. Data collection was performed by complet-
ing the post-traumatic disorder scale (PTSD), the
life satisfaction index (LSI) and the Center for Epi-
demiologic Studies Depression scale (CES-D).
RESULTS: Parental gender (PTSD: t=3.13,
p=0.002, CESD: t=4.26, p=0.000 LSI: t= -2.09,
p=0.021) and time from cancer diagnosis (PTSD:
t=6.44, p=0.001, CES-D: t=3.44, p=0.004, LSI:
t=3.62, p=0.000) were found to be statistically
significant factors regarding parents’ adoption
to pediatric cancer.
CONCLUSIONS: Parents whose kids’ time from
cancer diagnosis was less than 6 months re-
ported worse adaption. Mothers reported worse
adaption to childhood cancer than fathers, espe-
cially when time from cancer diagnosis was less
than 6 months. Moreover, mothers were in jeop-
ardy to develop post-traumatic disorder, espe-
cially when time from cancer diagnosis was less
than 6 months.
KEY-WORDS: pediatric cancer, depression,
adaption, parents, post-traumatic stress disorder
ORIGINAL PAPER
The parental adaption to chronic illness
and the factors that may affect it
E. Karamoutsiou, Nurse RN-Psychologist, Pediatric Oncology Hospital “Marianna Vardinogianni-Elpida”
P. Perdikaris, Nurse RN, MSc, PhD-Lecturer, Pediatric Oncology Hospital “Marianna Vardinogianni-
Elpida”, Faculty of Nursing University of Peloponnese
15ΤΕΥΧΟΣ/ISSUE 39
Abstract
BACKROUND: The concept of hope is gaining in-
creased interest in the last two decades. In nurs-
ing literature, hope, as a subjective phenomenon
which is associated to the disease’s experience,
has been studied in different patients’groups..
AIM:The aim of this review was to investigate the
concept of hope in patients with hematological
malignancy during the phases of their disease
and the hematopoietic stem cell transplantation.
METHODS: A comprehensive literature review
was carried out in the databases Medline, Scien-
ceDirect, Cinahl, HEAL – Link and in the search
machines: yahoo  google. Key terms used were
the following: “cancer”, “hope”, ‘hematological
patients”, “hematology”, “hematopoietic stem
cell transplantation”. Specifically, 21 studies were
selected and analyzed, which explored the con-
cept of hope of patients with cancer, including
patients with hematological malignancy.
RESULTS: Data analysis showed that there were
only few studies investigating the concept of
hope in hematological patients. In these studies,
hope seemed to be affected by various factors,
including pain, awareness of diagnosis and gen-
der, age, and education of the patient. Μoreover
quality and quantity of information by health
care professionals showed a significant impact.
Specific nursing interventions were found to be
effective in the empowerment of patients’hope.
CONCLUSIONS: The concept of hope in haema-
tological patients has been poorly studied and
further investigation is needed. The nurses have
a unique role in hope empowerment of patients
with hematological malignancy, regardless their
age and the severity of their disease.
KEYWORDS:“cancer”,“hope”,‘hematological pa-
tients”, “hematopoietic stem cell transplanta-
tion”
Hope in patients with hematological
malignancy in different phases of
their disease and during the phase of
hematopoietic stem cell transplantation. A
literature review.
S.Tsaroucha, Nurse, RN, Msc, PhD
E. Patiraki, Professor, Department of Nursing, National and Kapodistrian University of Athens, Athens,
Greece
Correspondenceperson:
S.Tsaroucha, 34 Pantazi street, Ilioupoli, GR16346, Greece, tel: +030 6932445939
REVIEW
16
Βατάτζη 55, 114 73 Αθήνα ΤΗΛ. : 210 6431108
E-MAIL: ekdoseis.ocelotos@gmail.com
www. ocelotos. gr
ΕΚΔΟΣΕΙΣ
οσελότος

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Issue 39

  • 1. 1ΤΕΥΧΟΣ/ISSUE 39 SCIENTIFIC JOURNAL, 3 ISSUES PER YEAR MAY - AUGUST 2014 Published by the Greek Nursing Studies Association (GNSA) ISSUE 39 Scientific Journal, 3 Issues per Year MAY - AUGUST 2014 Published by the Greek Nursing Studies Association (GNSA) Nursing Care AND Research AΠΟΔΕΛΤΙΏΝΕΤΑΙ ΣΤΙΣ ΒΆΣΕΙΣ SCOPUS, ΕΒSCO, CINAHL INDEXED IN SCOPUS, ΕΒSCO, CINAHL ΕΚΔΟΣΕΙΣ οσελότος ISSN 22413960 • Gender Differences in Informal Care • Prevalence of depression among elderly population of a district nursing home and their satisfaction from the nursing care provided • The parental adaption to chronic illness and the factors that may affect it • Hope in patients with hematological malignancy in different phases of their disease and during the phase of hematopoietic stem cell transplantation. A literature review • Multidimensional Innovative Guide for the Performance of Hospitals «H.E.P.G.G» : a Pilot Study on the 6th Health Department
  • 2. 2
  • 3. 3ΤΕΥΧΟΣ/ISSUE 39 Scientific Journal, 3 Issues per Year Published by the Greek Nursing Studies Association (GNSA) Nursing Care AND Research EDITOR-IN-CHIEF Chryssoula Lemonidou, RN, MSc, PhD, Professor of Nursing, University of Athens CO-EDITORS Eleni Apostolopoulou, RN, PhD, Professor of Nursing, University of Athens Ioannis Elefsiniotis, PhD, Assistant Professor, Faculty of Nursing, University of Athens Panagiota Sourtzi, RN, MSc, PhD, Professor, Faculty of Nursing, University of Athens EDITORIAL BOARD Lambros Anthopoulos, Emeritus Professor, Faculty of Nursing, University of Athens George Baltopoulos, PhD, Professor, Faculty of Nurs- ing, University of Athens Thalia Bellali, RN, MSc, PhD, Associate Professor of Nursing, Technological Educational Institute of Thes- saloniki Konstantinos Birbas, PhD, Associate Professor, Faculty of Nursing, University of Athens Gerasimos Bonatsos, PhD, Professor, Faculty of Nurs- ing, University of Athens Charalambos Economou, Associate Professor, Depart- ment of Sociology, Panteion University, Margarita Giannakopoulou, MSc, PhD, Associate Pro- fessor, Faculty of Nursing, University of Athens Leonidas Grigorakos, Associate Professor, Faculty of Nursing, University of Athens Dafni Kaitelidou, MSc, PhD, Assistant Professor, Faculty of Nursing, University of Athens Ioannis Kaklamanos, PhD, Associate Professor, Faculty of Nursing, University of Athens Maria Kalafati, RN, MSc, PhD, Faculty of Nursing, Uni- versity of Athens Athina Kalokerinou, RN, PhD, Professor of Nursing, Fac- ulty of Nursing, University of Athens Evangelos Konstantinou, RN, MSc, PhD, Associate Professor, Faculty of Nursing, University of Athens Vassiliki Matziou, RN, PhD, Professor, Faculty of Nurs- ing, University of Athens Pavlos Myrianthefs, PhD, Associate Professor, Faculty of Nursing, University of Athens Elisabeth Patiraki, RN, PhD, Professor, Faculty of Nursing, University of Athens Sotiris Plakas, RN, MSc, PhD, General Hospital of At- tika «Sismanoglion» Olga Siskou, RN, MSc, PhD, Faculty of Nursing, Uni- versity of Athens, President of the Greek Nursing Studies Association EleniTheodossopoulou, Professor, Faculty of Nurs- ing, University of Athens INTERNATIONAL EDITORIAL BOARD John Albarran, Principal Lecturer in Critical Care Nursing, University of the West of England, Bris- tol, UK Maria Katopodi, PhD, Assistant Professor, University of Michigan, USA Katerina Labrinou, PhD, Assistant Professor in Nurs- ing, Cyprus University of Technology Anastasia Mallidou, RN, MSc, PhD, Assistant Professor, University of Victoria, Canada Anastasios Merkouris, RN, MSc, PhD, Associate Professor of Nursing, Faculty of Nursing, Cyprus University of Technology Evridiki Papastavrou, PhD, Assistant Professor in Nursing, Cyprus University of Technology Elisabeth D.E. Papathanassoglou, RN, MSc, PhD, Associate Professor, Faculty of Nursing, Cyprus University of Technology Julie Scholes, Professor of Nursing, University of Brighton, Brighton, UK Riita Suhonen, RN, PhD, Profes sor, University of Turku, Department of Nursing Science, Turku, Finland
  • 4. 4
  • 5. 5ΤΕΥΧΟΣ/ISSUE 39 Contents NursingCare AND Research Published by the Greek Nursing Studies Association (GNSA) Publisher and Editor-in-Chief: Chryssoula Lemonidou Address: 123, Papadiamantopoulou st., 115 27 - Athens, GREECE Tel.: +30 210-7461485 e-mail: info@nursingstudies.gr Technical publisher: Ocelotos publishing Annual Subscriptions 2012 for Εlectronic Version Public Services, Libraries, Companies, Organisations: € 30,00 Individual Subscriptions: € 20,00 © Copyright 2007 - 2014: All rights reserved. The reproduction of articles (or parts of them) is prohibited without permission of the publisher and the writers. Instructions to Authors���������������������������������������������������������������������78 EDITORIAL: Gender Differences in Informal Care������������������������������ 85 O. Govina SPECIAL ISSUE Multidimensional Innovative Guide for the Performance of Hospitals «H.E.P.G.G»: a Pilot Study on the 6th Health Department������������������� 89 M. Zafiropoulou, K. Avgeridis, Th. Seremetis, M. Katela ORIGINAL PAPERS Prevalence of depression among elderly population of a district nursing home and their satisfaction from the nursing care provided ������������������������������������� 99 Ch. Tika, M. Tsironi, P. Prezerakos, S. Tziaferi, F. Babatsikou, P. Kolovos, S. Zyga The parental adaption to chronic illness and the factors that may affect it��������������������������������������������� 121 E. Karamoutsiou, P. Perdikaris REVIEW Hope in patients with hematological malignancy in different phases of their disease and during the phase of hematopoietic stem cell transplantation. A literature review ����������������������������������������������������������������131 S. Tsaroucha, E. Patiraki
  • 6. 6 GENERAL INFORMATION 1. “Nursing Care and Research” publishes, fol- lowing peer review, articles in Greek or English, contributing to the understanding and devel- opment of all aspects of nursing care. The Ed- itorial Department receives manuscripts relat- ing to nursing practice, research, education and management, with scientific, theoretical or philosophical basis. 2. Papers published in the journal belong to one of the following categories: a) research studies, b) literature reviews and c) articles re- lating to developments in nursing practice, education and management. Additionally, let- ters (no longer than 500 words), including re- views or comments on previously published work, are published if submitted within two (2) months from the publication of the research concerned. 3. Manuscripts must be submitted exclusive- ly to the “Nursing Care and Research” journal, they must not have been published in print or electronic form, or undergo peer review at an- other journal or medium at the time of sub- mission. The Editorial Director decides time of publication and reserves the right to change manuscript format; however, large or substan- tial changes are made only following author consent. Authors should avoid submitting two man- uscripts from the same study without clear justification. Also, they should not include in new work material from background litera- ture reviews that have already been published (eg avoidance of self-plagiarism). In the event that two papers emerge from the same re- search study, presenting different aspects of the work at hand, they must be submitted in- dependently and not as two parts of the same article. Each article should be autonomous and must not include the other, although cross - references can be made. When a com- plete description of the research methodology is made in the first article a brief description is sufficient in the the second provided the first is adequately referenced. Generally, one should avoid publishing numerous individual papers emanating from the same study (“salami slic- ing”) and instead should focus on the different aspects and research findings within a single publication. If the manuscript is accepted for publication, the authors must complete and send via fax at 00302107461485 the Non-Publication in An- other Medium Form, which forms part of the supporting files as required in the submission process. Instructions for Authors MISSION AND AIM OF THE JOURNAL “Nursing Care and Research” is a peer-reviewed journal accepting manuscripts from researchers from Greece and abroad. Its mission is to contribute to the development of nursing science and practice in Greece as well as internationally. The aim is to promote and disseminate new knowledge and research data for eventual application in clinical practice. To this end, nurses and other affiliated researchers are invited to submit high-calibre manuscripts in Greek or English. The journal welcomes original research papers, reviews, theoretical or philosophical articles, interesting clinical cases and methodological articles from experts. Nursing Care and Research is recognized at national level (FEK issue B 1961/23-9-2008) and is indexed at the CINHAL, EBSCO and SCOPUS International Databases.
  • 7. 7ΤΕΥΧΟΣ/ISSUE 39 4. Author participation in the drafting pro- cess All authors cited in a manuscript must have ac- tively contributed to the conception and de- sign of the study and/or the analysis and in- terpretation of data and/or in drafting the manuscript and all should have analysed and approved the content of the final version sub- mitted for publication. Participation only in the funding-seeking process or data collection does not justify listing among the authors, and can be acknowledged in the Acknowledge- ment section. For this reason, when several au- thors are cited, a separate letter is required ex- plaining in detail the contribution of each (eg methodological design, statistical analysis and interpretation, drafting of final text, reviewing and editing, literature review etc). The editori- al department reserves the right to contact au- thors to obtain clarifications on specific issues. 5. Submission process Manuscriptsforpublicationaresubmittedelec- tronically via e-mail: info@nursingstudies.gr in Word for Windows format. Figures, tables, graphics and images (only black white) are to be submitted in separate files in JPEG, GIF, TIFF, Microsoft PowerPoint and Excel formats. Authors are advised to confirm that their work has been received by contacting the Secre- tariat on weekdays between 10.00-16.00, tel: 00302106512282. In addition, authors should always maintain a copy of their work. 6. Periodicity The journal is published three (3) times per year (quarterly) and includes research pa- pers submitted exclusively by its subscribers. The author or at least one of the authors of any manuscripts submitted must already be a registered subscriber of the journal or a paid member of the Nursing Studies Society for the current year. 7. Retention of material Authors are advised that submitted manu- scripts are kept in record for one month af- ter publication. If there is a request for the re- turn of any material it should be clearly stated when manuscripts are being submitted. Organisation and format 8. Script: Texts should be double-spaced, with font size 12 and 2.5 cm white margin on all sides of each A4 page. All pages must be numbered in the lower right corner and the figures, tables, graphics and photos are to be submitted in separate pages, in continuous numbering. 9. Identification Page: The first page of each manuscript includes the title (up to 15 words) and the names of the authors in Greek and En- glish. Each author name is accompanied by qualifications, the last professional title, em- ployer, mailing and e-mail address and tele- phone number. In case of several authors, the name of the author to whom inquiries regard- ing the paper should be directed must be indi- cated (corresponding author). The authors of research studies cannot exceed six (6), apart from exceptional circumstanc- es when it comes to multi-disciplinary, large- scale multicenter studies. The authors of oth- er types of manuscripts cannot exceed two (2). All authors listed in the manuscript must have made an active contribution to the conception and design of the study and/or the analysis and interpretation of data and/or in the draft- ing of the manuscript and everyone should have studied and approved the final version submitted for publication. Participation only in the funding-seeking process or data collec- tion does not justify listing among the authors, and can be acknowledged in the Acknowledg- ment section. The identification page will be stored at the journal’s Secretariat office until the comple- tion of each anonymous peer review, receiv- ing a code number communicated to the au- thor via e-mail. With this number the author can request information on the progress of their manuscript following submission. 10. Title Page: Immediately after the identi- fication page, follows the title page, which in- cludes the title and the running title of the pa- per. The running title will appear in Greek and
  • 8. 8 English language and cannot exceed five (5) words. This page does not list names of au- thors or any other item that violates their ano- nymity during the peer-review process. 11. AbstractsandKeywords:The title page is followed by the abstracts (up to 250 words) in Greek and English, which will accurately sum- marize the content of the work. The abstract includes a) introduction, b) aim(s), c) method- ology, d) results and e) conclusion, and must not contain bibliographical references and ab- breviations. Each abstract is followed by up to six (6) keywords that indicate the content, pur- pose and focus of the manuscript. 12. Main body of work: The area of ​​the main body of the manuscript should be 2,000-5,000 words (excluding abstracts, tables and bibliog- raphy). Short manuscripts (up to 2,500 words in the main body and up to fifteen (15) refer- ences) are particularly welcome. This option is recommended for the dissemination of small- scale research studies of outstanding val- ue, without the possibility of extrapolations or repetition. In addition, smaller-scale man- uscripts are more likely to reach publication stage faster. The manuscript should include headings to further clarify text sections. Proposed head- ings include: a) introduction, b) literature re- view, c) aims, d) research questions and assumptions, e) sample f) data collection pro- cess, g) reliability and validity, h) ethical issues, i) data analysis, j) results, k) discussion, l) lim- itations of the study,m) conclusions and rel- evance to nursing practice, n) acknowledg- ments etc. Headings must be selected and adapted to content needs and their hierarchi- cal order should be clearly distinguishable; for example first level headings should appear in upper case and bold fonts, second level head- ings in lower case and bold fonts, third level headings in italics and so on and so forth. Study population anonymity and informed consent In order to ensure anonymity, the manuscript should not include the names of specific in- dividuals, hospitals or other entities, without their explicit consent. Furthermore, patients retain a fundamental right in regards to re- specting their privacy which should not be in- fringed without their informed consent. How- ever, in those cases where the authors consider that certain personal patient data are essen- tial for scientific purposes (such as patient ini- tials or photographs or names of hospitals) in- formed consent is necessary. This means that authors are required to show the final version of their work (with the accompanying files: Im- ages and Annexes) prior to submission to the journal and receive written consent from the patients. In each case, the authors should make an ef- fort to ensure the greatest possible degree of patient anonymity. For example, covering the eye area in photos does not fully ensure the anonymity of the depicted. Changes in some patient characteristics is the technique rec- ommended to authors, provided that these changes do not distort/misinterpret the re- search results. Such changes should always be communicated to the publisher along with as- surances that these changes will not result in any “alteration” of a scientific nature. Obtain- ing of the written informed consent should be stated in the methodology section, in the final text of the submitted manuscript. ADHERING TO THE HUMAN RIGHTS CODE OF CONDUCT Should authors publish results of studies con- ducted on humans, the methodology section should indicate whether they were conducted according to the principles of the Declaration of Human Rights, (Helsinki 1975) as revised in 2004. Should certain processes deviate from these principles, these must be methodolog- ically outlined and justified. Specifically, concerning clinical studies (in- vasive or not), authors should indicate, in the methodology section whether they were con- ducted upon approval of the National Agency
  • 9. 9ΤΕΥΧΟΣ/ISSUE 39 for Medicines (EOF) in accordance with Minis- terial Decision DYG 3/89292 Gazette V1973/31- 12-2003 (aligned with Directive 2001/20/EC). It should also be indicated that data is histori- cal and should be referred to in the past tense. The time of data collection should be reported in both the abstract and the main text. For ex- ample, in the case of empirical studies, this can be stated thus: “Data collection was carriedout during 2007” or “Data collection was performed over 18 months, in the 2006-2007 period.” Note that the “Nursing Care and Research” journal does not publish studies citing data older than five (5) years, unless current relevance is suffi- ciently justified. In qualitative studies, individu- als should refer to numbers or aliases (in quotes) and mentions should be balanced equally across the full range of responses. In the case of reviews, the year of the review should be reported and the range of publica- tion years of the studies reviewed should be reported. Such details should be mentioned in historical studies. The statistical tests used, ought to be defined and, where necessary, documented with references. Abbreviations and symbols should be used rarely and only in the case of names or expres- sions of extensive length. The full names or ex- pressions will be referred to during first use, followed by the abbreviation in parentheses. In any case, abbreviations will follow the rules set out by the Royal Society of Medicine Press. 13. Conficts of interest Public confidence in the peer-review process depends partly on the management of any conflicting interests arising in the writing, eval- uation and final publication decision as artic- ulated by the editorial department. Conflicts of interest arise when an author (or the institu- tion to which the author belongs to), a review- er or the Managing Editor maintain financial or personal relationships that can in a negative way affect their actions/judgment regarding the manuscript submitted to the journal. More specifically, according to the requirements for manuscripts submitted to biomedical journals (as issued in February 2006 by the Internation- al Committee of Medical Journals Publishers) conflicting interests arise when financial rela- tionships exist (eg employer – employee, own- ership of property, financial honorary prizes, and paid expert opinions) and these are the most easily identifiable cases and those that most often undermine the credibility of the journal, the publishers, the authors and the sci- entific endeavours in general. However, con- flicting interests may arise for other reasons as well such as poor interpersonal relationships, academic competition etc. Authors must indicate at the end of the text and prior to the references section if they con- sider that the peer review of their work may be affected or not by the existence of any conflict of interest as described above. 14. Sources of funding Authors should indicate details (entity name, contact information, amount awarded) of all funding sources from which their research benefitted. Examples of such sources in- clude: medical or non-medical interest com- pany funds, scholarships, national or Europe- an Community grants, support from scientific bodies (eg scientific societies, non -profit insti- tutions etc.). It should also be indicated if the work was carried out as part of a national or transnational program, financed by nation- al or international sources. In this case, full de- tails of the program (awarding body, duration, amount of funding, etc.) must be disclosed. This information should be listed in a separate section following the conflicts of interest sec- tion. 15. Acknowledgements The funding sources section is followed by the optional Acknowledgements section, stat- ing the names and affiliations of all those who contributed (eg through the provision of pri- mary data, or by reviewing the text or provid- ing their opinion) to the drafting of the man- uscript (apart from the authors). This section
  • 10. 10 should acknowledge any sponsors donating materials and tools required for the research. 16. Bibliographic References: Bibliograph- ic references in the text should indicate the names of the authors followed by the date in chronological order, eg. (Lewis 1975, Barnett 1992, Chalmers 1994). When there are more than two authors, the name of the first author followed by et al., eg. (Barder et al. 1994), is ref- erenced in the text but all authors should be listed in the bibliography. When quotes are used in the text, the page should be referred to eg. (Chalmers 1994, p.7). All references must be from primary sources. The literature list follows the Harvard system, written in alphabetical order based on the sur- name of the first author. The list should in- clude authors’ surnames and initials, the date of publication, article title, full name of journal, volume number (and issue number if the vol- ume pages are not consecutive) and the first and last page of the article. When the refer- ence applies to a book, the author, the date, the title, followed by the publisher and the city must be stated. When the reference applies to a chapter in a book, details on the author(s) of the book, the date, place of publication and publisher must be provided. These references that are said to be “in press”, shall be accepted only if accompanied by a letter of acceptance from the journal in question. Examples: Williams N. (2001). Patient resuscitation follow- ing major thermal trauma. Nursing in Critical Care: 6: 115-121 Muller D, Harns P, Watley L. (1986). Nursing Children: Psychology Research and Practice. London: Harper Row. Lewis T, Hell J. (1992). Rhabdomyolysis and Myoglobinuria. In: Hall J, Schmidt G, Wood L. (eds), Principles of Critical Care, Volume 2. New York: McGraw Hill. Websites are refencees as follows: National Institute for Clinical Excellence (2000) Final appraisal determination: Drugs for early thrombolysis in the treatment of acute myo- cardial infarction, NICE, www.nice.org.uk/ar- ticle.asp?a =36672. Last access on 7 October 2006. 17. Figures , Tables , Graphics , Photos : Tables must be referred to herein as Tables, numbered in the order they are presented, eg as Table 1, Table 2, etc. and incorporated in the correct place in the body of the text. All imag- es, including photos, must be referred to here- in as Figures and numbered in the order they are presented, eg Figure 1, Figure 2 etc. They must also be captioned and may be accom- panied by a legend not exceeding thirty (30) words. Figures of all forms will cover a single column (width 86mm) or two columns when needed (width 177mm). The journal reserves the right to adjust the size of figures for tech- nical reasons. When material (including figures, tables, etc.) that has already been published elsewhere ap- pears in the manuscript, the written permis- sion of the original authors (or those who own the copyright of said material) must be ob- tained. The authors of published papers are fully liable for any copyright infringement. Peer-review process 18. All submitted work is reviewed (anony- mously) by two (2) independent referees/re- viewers and, if they contain complex statistical methodologies by a statistician as well. Re- viewers decide whether an article is a) accept- ed, b) requires modifications or c) rejected. In case of disagreement among the reviewers, the Managing Editor will reach a final decision, taking into account all reviewer comments. If the reviewers suggest modifications, the manuscript is returned by the journal secretar- iat to the corresponding author for redrafting and resubmission within six weeks from the date the comments were made (the review process spans usually 6-8 weeks and in some cases can reach up to 10 weeks). During resub- mission, authors are required to indicate the modifications they have carried out in accor- dance to reviewer instructions in a letter to the Managing Editor. The modified manuscript is forwarded to the reviewers if deemed neces-
  • 11. 11ΤΕΥΧΟΣ/ISSUE 39 sary, and they confirm whether or not modi- fications comply with their recommendations. At that point the Managing Editor reaches the final decision to publish the article. 19. Electronic Reprint: Following publica- tion, the corresponding author will receive an electronic reprint of the article in PDF format. Electronic reprints will be distributed by him/ her to the other authors. The journal does not issue printed reprints of published work. COPYRIGHT 20. In order to publish any article in the “Nurs- ing Care and Research” journal, the authors are asked to grant this exclusive right to the Soci- ety for Nursing Studies. Along with the draft for modifications the authors receive an Au- thorization for Exclusive Publication form which must be filled, signed and returned by mail (or by email as a pdf file) to the journal, along with the modified manuscript. When a paper is derived from an extensive re- search study and the same or other authors have prepared additional papers, which have been published or submitted for publication in this or other journals, the corresponding author must notify the Managing Editor so as to ensure that third party copyright is not in- fringed. Any impact emanating from copyright infringement lies exclusively with the authors of published articles and the journal will pro- ceed with all necessary actions. FINAL NOTE Subscribers preparing manuscripts for publi- cation in the “Nursing Care and Research” jour- nal are requested to adhere to these Instruc- tions for Authors carefully in order to avoid delays in the publication of their work and the publication of new volumes of the journal. Εταιρεία Νοσηλευτικών Σπουδών Διοικητικό Συμβούλιο Εταιρείας Νοσηλευτικών Σπουδών Πρόεδρος: Όλγα Σίσκου Αντιπρόεδρος: Μαρία Καθαράκη Γενική Γραμματέας: Μαρία Χατζοπούλου Ειδική Γραμματέας: Ευανθία Κωνσταντάκη Ταμίας: Αργυρώ Ψυχογυιού Μέλη: Μαρία Χαρχαρίδου Στέλιος Κατσαραγάκης
  • 12. 12 Abstract INTRODUCTION: The main idea of ​​this pilot study is an innovative approach for the perfor- mance of hospitals, through a manual (model- tool) evaluation aiming to produce through in- dicators, tables and diagrams evidence for the effectiveness and efficiency, but also to be used as a tool for hospital decision makers. AIM: The purpose of this study was to develop an innovative pilot evaluation guide «HEPGG» (Hospital Evaluation Performance Greek Guide) for public hospitals, adapted to Greek reality.The aim of this guide was to combine quantitative and qualitative indicators in accordance with the objectives of each hospital, to calculate an over- all percentage of performance of each hospital and to compare the indicators in order to iden- tify problems and new goals for each hospital. METHOD: Initially, a theoretical study of the evaluation of hospitals has been done and then it has been proposed a tool based on DEA model and the method of bootstrap, as regards purely quantitative indicators, and the method of the balanced score and the combination of indica- tors as regards qualitative indicators. In the sec- ond phase of the work, the differences of existing evaluation models were analyzed and a general model that would be followed and the general breakdown of indicators was designed. The cor- relation and weighting of indicators in the model and the pilot implementation in the 6th Health Department were done in the final phase of completion of the evaluation tool. RESULTS: The evaluation of the performance of hospitals based on the measurement of ef- ficiency and effectiveness by using (qualitative and quantitative) indicators allows to better al- locate resources and even create new goals. This guide assesses the strengths and weaknesses of the organization taking into account the existing opportunities and threats. CONCLUSIONS: This evaluation method can be applied both to large central hospitals and healthcare centers because it takes into account not only their inputs and outputs, but also other qualitative variables (satisfaction, education, se- curity, etc.) and therefore it may easily identify their performance. KEYWORDS: Evaluation, hospitals, health ser- vices, efficiency, effectiveness, performance, in- dicators. SPECIAL ISSUE Multidimensional Innovative Guide for the Performance of Hospitals «H.E.P.G.G» : a Pilot Study on the 6th Health Department Ζafiropoulou Maria, Phd, Expert ‘’Health Care and Social Sector’’ in the E.U. Αvgeridis Kyriakos, Sociologist, Head of Unit ‘’European Development Projects and Service providers’’ in the 6th YPE Seremetis Theodoros, ICT Engineer, M.Sc. in Healthcare Management, ex head of ICT Unit in the University Hospital of Patras Κatela Maria, Economist, Master student of Healthcare Management in the Open University of Cyprus
  • 13. 13ΤΕΥΧΟΣ/ISSUE 39 Abstract INTRODUCTION: Depression in the elderly is considered an important public health issue. Depression is the most common mental health problem among older people. It poses a critical impact on satisfaction and the quality of life of elderly and it is related with high expenses and great demand of health care services. OBJECTIVE: Of this research study was to estimate the prevalence of depression among the elderly population of a nursing home and its correlation with the satisfaction of the nursing care provided. MATERIAL AND METHOD: The sample consisted of 180 individuals, 108 women and 72 men, aged 60 years or older, members of a nursing home in Greece. A questionnaire for demographics factors was used, whereas depression was probed through Geriatric Depression Scale, (Short Form - GDS-15), which has been standardized and adapted in a Greek elderly population, and satisfaction through modified for the purpose of research evaluation of the mood and physical symptoms scale (MPSS). For the statistical analysis was used the ΙΒΜ SPSS Statistics Version 19. RESULTS: A percentage of 42,2% of the sample had depressive symptoms. It was also shown that depression at women (75%) appeared in a percentage over than the double against men (25%). The symptomatology of depression occurred widely among the bedridden elderly, elderly without children and visits, those with multiple pathologies and elderly who did not participate in social activities. Finally, elderly with depressive symptoms were less satisfied with the health care provided. CONCLUSIONS: The ascertainment high percentage of depressive symptoms and low percentage of satisfaction among elderly people with depression confirms the emergency of redesigning of nursing care, providing individualized care and improving quality of life among these people. KEY WORDS: Depression, elderly, satisfaction, nursing home. ORIGINAL PAPER Prevalence of depression among elderly population of a district nursing home and their satisfaction from the nursing care provided Ch. Tika, RN, ΜSc(c), Nursing Department, Faculty of Human Movement and Quality of Life Sciences, University of Peloponnese, Sparta, Greece M. Tsironi, Associate Professor, Nursing Department, Faculty of Human Movement and Quality of Life Sciences, University of Peloponnese, Sparta, Greece P. Prezerakos, Assistant Professor, Nursing Department, Faculty of Human Movement and Quality of Life Sciences, University of Peloponnese, Sparta, Greece S. Tziaferi, Lecturer, Nursing Department, Faculty of Human Movement and Quality of Life Sciences, University of Peloponnese, Sparta, Greece F. Babatsikou, Associate Professor, Nursing Department A΄, Technological Educational Institute (TEI) of Athens, Athens, Greece P.Kolovos,TeachingStaff,NursingDepartment,FacultyofHumanMovementandQualityofLifeSciences, University of Peloponnese, Sparta, Greece S. Zyga, Assistant Professor, Nursing Department, Faculty of Human Movement and Quality of Life Sciences, University of Peloponnese, Sparta, Greece Correspondence: Tika Chrysi, RN, MSc(c), Nursing Department, Faculty of Human Movement and Quality of Life Services, University of Peloponnese Address:Dimokratias1, Eleousa Ioanninon, 45500, Ioannina, Greece, E-mail: xrissatika@hotmail.com
  • 14. 14 Abstract BACKGROUND: Pediatric cancer significantly af- fects young patients’life, as well as their families, resulting in troubles regarding parental adap- tion to chronic illness. AIM: To assess parental adaption to chronic ill- ness and the factors that may affect it. METHODOLOGY: The sample consisted of 46 parents whom children were suffering from can- cer. Data collection was performed by complet- ing the post-traumatic disorder scale (PTSD), the life satisfaction index (LSI) and the Center for Epi- demiologic Studies Depression scale (CES-D). RESULTS: Parental gender (PTSD: t=3.13, p=0.002, CESD: t=4.26, p=0.000 LSI: t= -2.09, p=0.021) and time from cancer diagnosis (PTSD: t=6.44, p=0.001, CES-D: t=3.44, p=0.004, LSI: t=3.62, p=0.000) were found to be statistically significant factors regarding parents’ adoption to pediatric cancer. CONCLUSIONS: Parents whose kids’ time from cancer diagnosis was less than 6 months re- ported worse adaption. Mothers reported worse adaption to childhood cancer than fathers, espe- cially when time from cancer diagnosis was less than 6 months. Moreover, mothers were in jeop- ardy to develop post-traumatic disorder, espe- cially when time from cancer diagnosis was less than 6 months. KEY-WORDS: pediatric cancer, depression, adaption, parents, post-traumatic stress disorder ORIGINAL PAPER The parental adaption to chronic illness and the factors that may affect it E. Karamoutsiou, Nurse RN-Psychologist, Pediatric Oncology Hospital “Marianna Vardinogianni-Elpida” P. Perdikaris, Nurse RN, MSc, PhD-Lecturer, Pediatric Oncology Hospital “Marianna Vardinogianni- Elpida”, Faculty of Nursing University of Peloponnese
  • 15. 15ΤΕΥΧΟΣ/ISSUE 39 Abstract BACKROUND: The concept of hope is gaining in- creased interest in the last two decades. In nurs- ing literature, hope, as a subjective phenomenon which is associated to the disease’s experience, has been studied in different patients’groups.. AIM:The aim of this review was to investigate the concept of hope in patients with hematological malignancy during the phases of their disease and the hematopoietic stem cell transplantation. METHODS: A comprehensive literature review was carried out in the databases Medline, Scien- ceDirect, Cinahl, HEAL – Link and in the search machines: yahoo google. Key terms used were the following: “cancer”, “hope”, ‘hematological patients”, “hematology”, “hematopoietic stem cell transplantation”. Specifically, 21 studies were selected and analyzed, which explored the con- cept of hope of patients with cancer, including patients with hematological malignancy. RESULTS: Data analysis showed that there were only few studies investigating the concept of hope in hematological patients. In these studies, hope seemed to be affected by various factors, including pain, awareness of diagnosis and gen- der, age, and education of the patient. Μoreover quality and quantity of information by health care professionals showed a significant impact. Specific nursing interventions were found to be effective in the empowerment of patients’hope. CONCLUSIONS: The concept of hope in haema- tological patients has been poorly studied and further investigation is needed. The nurses have a unique role in hope empowerment of patients with hematological malignancy, regardless their age and the severity of their disease. KEYWORDS:“cancer”,“hope”,‘hematological pa- tients”, “hematopoietic stem cell transplanta- tion” Hope in patients with hematological malignancy in different phases of their disease and during the phase of hematopoietic stem cell transplantation. A literature review. S.Tsaroucha, Nurse, RN, Msc, PhD E. Patiraki, Professor, Department of Nursing, National and Kapodistrian University of Athens, Athens, Greece Correspondenceperson: S.Tsaroucha, 34 Pantazi street, Ilioupoli, GR16346, Greece, tel: +030 6932445939 REVIEW
  • 16. 16 Βατάτζη 55, 114 73 Αθήνα ΤΗΛ. : 210 6431108 E-MAIL: ekdoseis.ocelotos@gmail.com www. ocelotos. gr ΕΚΔΟΣΕΙΣ οσελότος