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Issue 44
1. 1ISSUE 43
SCIENTIFIC JOURNAL, 3 ISSUES PER YEAR JANUARY - APRIL 2016
Published by the Greek
Nursing Studies
Association (GNSA)
ISSUE
44
INDEXED IN SCOPUS, ΕΒSCO, CINAHL
ISSN 22413960
• Breast cancer screening in the municipality of Nicosia,
Cyprus, and association with determinants
• Qualitative study of care in oncology
• Nurses’attitudes towards advocacy and support of
potential organs donors and their families
• Evaluating the needs children with cancer have,
by using an interactive tool (SISOM)
PUBLICATIONS
οcelotos
3. 3ISSUE 43
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, Emeritus Professor of
Nursing, University of Athens
Ioannis Elefsiniotis, PhD, Associate Professor, Faculty of
Nursing, University of Athens
Panagiota Sourtzi, RN, MSc, PhD, Professor, Faculty of
Nursing, University of Athens
Olga Siskou, RN, M.Sc. Ph.D, Faculty of Nursing, Univer-
sity of Athens, President of the Greek Nursing Stud-
ies Association
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
Michael Igoumenidis, Faculty of Nursing, Technologi-
cal Educational Institute of Western Greece
Dafni Kaitelidou, MSc, PhD, Associate 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,
Faculty 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, Professor, Faculty of Nurs-
ing, 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
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-
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“Nursing Care and Research” is a peer-reviewed journal accepting manuscripts from researchers
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and research data for eventual application in clinical practice. To this end, nurses and other affiliated
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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. 7ISSUE 43
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The authors of research studies cannot exceed
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8. 8
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ADHERING TO THE HUMAN RIGHTS CODE OF
CONDUCT
Should authors publish results of studies con-
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9. 9ISSUE 43
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10. 10
should acknowledge any sponsors donating
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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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11. 11ISSUE 43
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12. 12
ABSTRACT
INTRODUCTION: Within the framework of the
“Healthy Cities” program in 2013-2014 data was
collected regarding the health status of the citi-
zens of Nicosia. In addition to other information,
the present survey included data from mam-
mography screening in females.
PURPOSE: Investigation of breast cancer screen-
ing program for women aged ≥40 years old and
association with potential determinants.
METHODOLOGY: Based on the 2011 census, a
representative stratified sample of women living
in Nicosia was chosen. In the sample, 297 wom-
en (≥40 years old) answered face-to-face inter-
views concerning the screening of breast cancer.
Statistical analysis was performed with the use of
IBM SPSS 22.
RESULTS: A total of 231 (77.8%) women under-
took mammography. 43.1% performed their first
mammogram between 40-49 years and 21.9%
between 50-59 years. Women aged 70 years and
older are 10 times less likely to take a mammog-
raphy compared with women of 50-69 years old
(OR=0.10, 95% Confidence Interval (CI): 0.03-
0.37, p=0.001). The mammography screening
rates of women aged 40-49 years do not differ
significantly with those of the target population,
i.e. women 50-69 years (OR=1.00, 95% CI:0.44-
2.27, p=0.994). Higher mammography screening
rate was observed in married/partnered women
compared to singles (OR=7.49, 95% CI:2.84-
19.77, p0.001), as well as in widowed/divorced/
separated compared to singles (OR=3.34, 95%
CI: 1.21-9.25, p=0.020). Cypriot women are 4.78
times more likely to take a mammography com-
pared with other nationalities (OR=0.21, 95% CI:
0.09-0.51, p=0.001). Finally, unemployed women
are 5.45 times more likely to take a mammogra-
phy compared to retired women (OR=5.45, 95%
CI: 1.03-28.99, p=0.047).
CONCLUSIONS: Mammography screening rates
for women aged ≥40 years in the municipality
of Nicosia are high and are associated with age,
marital status, occupational status and nationali-
ty. Women aged 70 years and older as well as un-
employed women show lower screening rates,
while in married/partnered and Cypriot women
higher screening rates are revealed.
KEYWORDS: breast cancer screening, mam-
mography, Nicosia
ORIGINAL PAPER
Breast cancer screening in the municipality
of Nicosia, Cyprus, and association with
determinants
Papapetrou I., Postgraduate Program Health Management, Frederick 2Strovolos Health Centre of
Nicosia, Cyprus.
Charalambous G., Postgraduate Program Health Management, Frederick University of Nicosia, Cyprus.
General Hospital of Athens “Hippocratio” of Athens, Greece. Coordinator MSc in Health Management,
Frederick University Nicosia, Cyprus.
Sissouras A., Postgraduate Program Health Management, Frederick University of Nicosia, Cyprus.
Department of Operational Research and Management, University of Patras, Patras, Greece.
Jelastopulu E., Postgraduate Program Health Management, Frederick University of Nicosia, Cyprus.
Department of Public Health, Medical School, University of Patras, Patras, Greece.
Corresponding Author:
Irini Papapetrou, Frederick University, Nicosia, Cyprus, 15 Kykladon, 2062 Strovolos, Nicosia, Cyprus,
Tel:+357 99 622200 Fax: +357 22 758930 E-mail: renapapapetrou@cytanet.com.cy
13. 13ISSUE 43
ABSTRACT
BACKGROUND : The care is the core concept
and key element of nursing. Over time in oncol-
ogy, nursing approach varies considerably in
the different settings providing care.
AIM: To explore the Greek nurses’ perceptions
for the care provided in the specialist oncology
hospital.
METHOD: The study enrolled 18 nurses (17 fe-
males and 1 male) who were selected based on
purposeful sampling and they were working
in the pathological wards in three oncological
hospitals in Attica. To collect data, three focus
groups were held lasting 120 minutes each. The
data were analyzed according to the direct con-
tent analysis, based on Watson’s theory.
RESULTS:The results of content analysis sup-
ported the categorization according toWatson’s
theory, while was resulting the new categories
of the multi-faceted concept of care in oncol-
ogy, empathy, communication and information
and fear of cancer. Moreover, it was found that
in all categories, the factors of time and person-
al view of their role influenced the expression of
care provided.
CONCLUSIONS: Nurses perceive care as a com-
plex, unique and multi-faceted concept that
their expression is influenced primarily by pro-
fessional perceptions of their role and the dis-
ease.
KEYWORDS: oncology nursing, qualitative re-
search, caring.
ORIGINAL PAPER
Qualitative study of care in oncology
Karlou Ch., RN, BSc, MSc, PhD Colonel Nurse in Air Force, Head Nurse Oncology Hematology Ward Air
Force Hospital
Vouzavali F., Vocational High School of Nurse, Assistants Laboratory Instructor, Technological
Educational Institute of Athens
Lemonidou Ch., Professor, National and Kapodistrian University of Athens, Faculty of Nursing
Papathanassoglou E., Associate Professor, Critical Care Nursing Head, Department of Nursing, Director,
Masters Program in Advanced Practice University of Technology, Department of Nursing Nicosia,Cyprus.
Zafiropoulou- Koutroubas A., MSc, Clinical Psychologist, Children’s Hospital ‘‘A P Kyriakou’’Oncology
Department, Athens
Katsaragakis S., RN, MSc, PhD, Lecturer National University of Peloponisos Faculty of Human,
Movement and Quality of Life Sciences in Sparta, Departement of Nursing
Patiraki E., Professor National and Kapodistrian University of Athens, Faculty of Nursing
CorrespondingAuthor:
Ch. Karlou, 43 Erechthiou str. 12137 Athens, TEL:+30 210 5716370, FAX: +30 210 7467476, xk21565@
gmail.com
14. 14
ABSTRACT
INTRODUCTION: The positive attitude of nurses
towards organ transplantations can influence
positively the decision of potential organ donors
and their families.
AIM: To investigate the attitude of Cypriot and
British nurses regarding the advocacy and
support of potential organ donors and their
families.
METHODOLOGY: A cross-sectional study was
conducted with a convenience sample of 156
nurses in intensive care units in Cyprus and
England. Nurses completed anonymously the
questionnaire “Attitudes Towards Organ Donor
Advocacy Scale” during January-March 2016.
Data analysis was performed with the statistical
package IBM SPSS 21.0.
RESULTS: Mean age of nurses in Cyprus was 34.5
years, while in England was 33.6 years. Nurses in
Cyprus have cared more often for patients who
suffered from a catastrophic brain injury with cir-
culatory and ventilator support (p=0.005), while
nurses in England have participated more often
in the family approach for organ donation in
collaboration with the Organ Procurement Or-
ganization (p=0.02). Nurses in England felt more
comfortable in the family approach for organ
donation (p=0.01) and they have decided more
often to donate their organs after their death
(p0.001). Nurses in England had more positive
attitudes toward actions to safeguard the wishes
of the potential donor and to support donor’s
family.
CONCLUSION: Nurses in England had more
positive attitude than nurses in Cyprus.
KEYWORDS: attitudes, family, organ donation,
organ transplantation, nurses, potential donor
ORIGINAL PAPER
Nurses’ attitudes towards advocacy and
support of potential organs donors and
their families
P. Galanis, RN, MPH, PhD, Center for Health Services Management and Evaluation, Department of
Nursing, University of Athens
A. Kalli, RN, MSc, European University of Cyprus
K. Stratis, RN, MSc, European University of Cyprus
A. Bilali, RN, MSc, PhD, Children’s Hospital “P. A. Kiriakou”
Correspondingauthor:
Petros Galanis, 67 Mikras Asias St., GR-11527, Athens, Phone number: (210) 7781044, 6944387354,
e-mail: pegalan@nurs.uoa.gr
15. 15ISSUE 43
ABSTRACT
INTRODUCTION: The holistic confrontation of
the problems that children with cancer have,
premises a valid evaluation of them.
PURPOSE: A review about the effect of the in-
teractive tool (Sisom), on the recognition of the
problems that children with cancer have, aiming
to the improvement of the care provided.
METHOD: Review of the electronic bases Pub-
med, Medline and Google, for the years 2002
– 2013, using as key – words: «Children with
Cancer», «Health Professionals», «Nurses», «Com-
munication Problems», «Symptoms», «Expres-
sion», «Interactive Tools», «Communication
Tools» and «Sisom». In total, 191 articles were
found, by which 8 were finally selected as related.
RESULTS:The evaluation of needs and problems
children with cancer have, is achieved by the ef-
fective communication with the nurse and by
using valid and reliable tools. It is observed that
children do not always express their feelings,
needs or problems and as a result, they remain
unsolved. Recently, Ruland and co. created an
interactive tool (Sisom), that gives children with
cancer“a voice”to express their needs and helps
nurses at its evaluation.
CONCLUSIONS: Using evaluation tools is a ne-
cessity, if we wish for a valid evaluation of symp-
toms and problems children with cancer have.
The use of Sisom in daily practice, has a positive
effect in recognizing and solving the needs and
problems children with cancer have.
Evaluating the needs children with cancer
have, by using an interactive tool (SISOM)
Stamoulara A. , RN, MS(c), Pediatric Oncology Unit at “MITERA” Hospital
TsimicalisA.,RN,PhD,AssistantProfessor,IngramSchoolofNursing,FacultyofMedicine,McGillUniversity
Ruland M. C., RN, PhD, Adjunct Assistant Professor, Department of Medical Informatics, Columbia
University, New York - Adjunct Assistant Professor, College of Nursing, University of Iowa, Iowa City
- Adjunct Assistant Professor, Dept. of Community and Family Medicine, Dartmouth Medical School,
Hanover - Director, Center for Shared Decision Making and Nursing Research, Rikshospitalet National
Hospital Oslo, Norway
MatziouV., Professor, Faculty of Nursing, National and Kapodistrian University of Athens
Corresponding author:
Stamoulara A. , Thalias 5, Peristeri, Athens, 12135, Τel. 210 – 5734139, 6974648160,
E-mail.a.stamoulara@windowslive.com
REVIEW