This document is the 39th issue of the scientific journal "Nursing Care and Research" published 3 times per year by the Greek Nursing Studies Association. It contains articles on various nursing topics such as gender differences in informal care, prevalence of depression among elderly in nursing homes, parental adaptation to chronic illness in children, and hope in patients with hematological malignancy. It provides information on the journal's editorial board and instructions for authors on submitting manuscripts.

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
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7. 7ΤΕΥΧΟΣ/ISSUE 39
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8. 8
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9. 9ΤΕΥΧΟΣ/ISSUE 39
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10. 10
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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.
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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. 11ΤΕΥΧΟΣ/ISSUE 39
sary, and they confirm whether or not modi-
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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
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