Publications (3)1.59 Total impact
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ABSTRACT: Aim: The purpose of the present study was to explore staffing and organisation of nursing care in coronary care units (CCUs) in Greece. Additionally, the frequency at which specific clinical tasks were autonomously performed by nurses was explored, along with the association of organisational and staffing indices with nursing autonomy and continuing education. Material-Method: An exploratory descriptive survey design with additional cross-sectional comparisons was employed. A speci fically developed survey-type questionnaire was distributed to the nurse managers of all CCUs in Greece. The sample comprised 30 CCUs from all over Greece response rate: 67%). Results: Nursing staff per bed ratios over 24 hours (whole-time equivalent: WTE) exhibited a mean of 1.59 (±0.8), ranging from 0.44 to 3.75. The percentage of nursing staff having had participated at training before commencement of work at the CCU was 27.5%; whereas, 33% had participated at in-service continuous education programs. Only in 16.7% of CCUs nurses received CPR training, while only 36.7% of units had established procedure protocols. Nurse per bed ratios associated positively with the percentages of nurses receiving orientation and training (Spearman's rho (rho)=0.372,p=0.04). The frequency at which specific clinical tasks were autonomously performed by nurses exhibited considerable variability, and it was associated with staffing ratios and the percentage of nurses having had received in-service training (p<0.05). Conclusions: In conclusion, staffing and organisation of nursing care in Hellenic coronary care units is characterised by very low nurse per bed ratios, high substitution of RNs by auxiliary personnel, inadequate in-service training, and moderate nursing autonomy in performing technical tasks. Endorsement of nation-wide standards for nursing staffing and training in CCUs is imperative; since they will, presumably, alleviate some of the problems reported herein.06/2013;
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ABSTRACT: PURPOSE:: One of the major challenges for health care professionals in heart failure (HF) management is to maintain and/or improve HF patient health-related quality of life. The Minnesota Living With Heart Failure Questionnaire (MLHFQ) is one of the most comprehensive and widely used tools for measuring health-related quality of life among patients with HF. The aim of the study was to assess the psychometric properties of the Greek version of the tool. METHODS:: The MLHFQ was administered among 128 Greek-Cypriot HF patients to assess the internal consistency, content validity, and contrast validity of its Greek version. Exploratory factor analysis was undertaken to establish its construct validity. RESULTS:: The factor analysis in this study provided support for a 3-factor solution explaining 64.15% of the variance (physical, emotional, and social subscales). The internal consistency for the Greek version of the MLHFQ total scale (0.95) and subscales (0.80-0.94) were found to be high. The contrast validity of the Greek version of the MLHFQ was explored through cumulative MLHFQ scores and comparisons that were able to distinguish among all different levels of HF severity, as defined by the New York Heart Association functional class grouping. CONCLUSION:: This study provides support for the reliability and validity of the Greek version of the MLHFQ.Journal of cardiopulmonary rehabilitation and prevention 06/2013; · 1.59 Impact Factor
- Reviews in Clinical Gerontology 07/2002; 12(03):191 - 204.