Leading transformational change: inner and outer skills
Issue 38
1. 1ΤΕΥΧΟΣ/ISSUE 38
SCIENTIFIC JOURNAL, 3 ISSUES PER YEAR JANUARY - APRIL 2014
Published by the Greek
Nursing Studies
Association (GNSA)
ΤΕΥΧΟΣ/ISSUE
38
Scientific Journal, 3 Issues per Year
JANUARY - APRIL 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
• The impact of financial crisis in health and the Health
Care System
• Investigating implementation of Clinical Governance in
Greece: The case of errors in hospital setting
• Validation of Νurse Manager Questionnaire measuring
Operating Room Nurse Managers competencies
• Intensive Care Unit nurses’attitude and knowledge
toward transplantations and organs donation
• Translation, Application and Evaluation of the OMAHA
System in community Nursing Practice in Greece
3. 3ΤΕΥΧΟΣ/ISSUE 37
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, Associate Professor, Faculty
of Nursing, 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
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7. 7ΤΕΥΧΟΣ/ISSUE 37
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8. 8
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9. 9ΤΕΥΧΟΣ/ISSUE 37
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10. 10
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ic references in the text should indicate the
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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. 11ΤΕΥΧΟΣ/ISSUE 37
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12. 12
Abstract
INTRODUCTION: Clinical governance is a
systematic approach to ensuring and improving
the quality and safety of health services. In
recent years, errors and adverse events in the
health sector have been recognized as the most
important problem of public health systems
internationally, highlighting patient safety as a
global priority.
AIM: The aim of the study is to map the
existing organizational climate-in terms of
clinical governance’ feature «Effective Error
Management» - in the hospital sector in Greece.
METHODOLOGY: It is a cross-sectional study
using factor and correlation analysis, conducted
for all employees working in a public and a
private hospital. Clinical Governance Climate
Questionnaire (CGCQ) was used. The sample size
were 459 employees.The response rate was 72%.
The collection of survey data held within a period
of four months (May 2012 to August 2012)
RESULTS: The climate associated with the
“Effective Error Management” is not supportive
to the study population. Men had higher mean
scores by 0.34 points compared with women (p
0.001). Workers at a public hospital had higher
mean scores by 0.27 points compared to workers
at a private hospital (p 0.001). Finally, the
reduction of age was related with an increase in
factor score“Effective error handling» (p 0.001).
CONCLUSION: The study shows that
healthcare employees’ perceptions on “Effective
Management Error” varies depending on the
legal personality of the hospital, sex and age of
the employees.
KEYWORDS: Clinical Governance, Patient Safety,
Safety Culture, Nursing Errors, Medical Errors,
Adverse Events
ORIGINAL PAPER
Investigating implementation of Clinical
Governance in Greece: The case of errors in
hospital setting
A. Dreliozi, RGN, MScN, MScHSM, PhD candidate, University of Peloponnese.
O. Siskou, RGN, MSc, PhD, Center for Health Services Management and Evaluation, Department of
Nursing, University of Athens
N. Maniadakis, Professor, National School of Public Health.
P. Prezerakos, Assistant Professor, Department of Nursing, University of Peloponnese.
Corresponding Author:
A. Dreliozi, RGN, MScN, MScHSM, PhD candidate, University of Peloponnese
adreliozi@gmail.com, tel: +30 2102631656, 6974190289
13. 13ΤΕΥΧΟΣ/ISSUE 38
Abstract
INTRODUCTION: Operating Room (OR) nurse
managers are responsible for the continuous im-
provement of perioperative nursing care and so
they are required to have a variety of abilities and
skills to be successful and effective in their role.
PURPOSE: The purpose of this study was the
translation and validation of Nurse Manager
Questionnaire.
MATERIAL AND METHODS: The survey was
conducted from December 2010 to February
2011 using a convenience sample of 153 Greek
Operating Room Nurses, working in military and
political (public and private) hospitals in Athens,
Thessaloniki and Thessaly. Nurse Manager Ques-
tionnaire was used which was comprising by 53
skills separated in two columns one for knowl-
edge and understanding, and one for ability to
implement and/or use. 53 skills were rated de-
pending on how essential those skills were for
OR nurse manager. The translation and valida-
tion of the questionnaire was performed accord-
ing to international standards. The validation
procedure concerned the exploration of internal
consistency by measuring Cronbach a.
RESULTS: The translation process of Nurse Man-
ager Questionnaire resulted in the Greek version
of the questionnaire. The Greek translation of
Nurse Manager Questionnaire found to be reli-
able, with very good internal consistency (Cron-
bach a=0,987).
CONCLUSION: The Greek translation of Nurse
Manager Questionnaire found to be valid and
reliable with a good internal consistency, which
means that the questionnaire is comparable
with that of the original version and can be used
for the assessment of competencies for Operat-
ing Room nurse managers.
KEY WORDS: operating room management,
operating room nurse manager, nurse manager
competencies
ORIGINAL PAPER
Validation of Νurse Manager Questionnaire
measuring Operating Room Nurse Managers
competencies
Konstantinia Karathanasi RN, PhD(c), Head OR nurse, 404 General Army Hospital, Larisa, GREECE
M. Malliarou, RN, Ph.D, 404 General Army Hospital, Larisa, GREECE
D. Kaitelidou, Assistant Professor, Department of Nursing, National and Kapodistrian University of
Athens
P. Prezerakos, Assistant Professor, Department of Νursing, University of Peloponnese
Corresponding author:
K. Karathanasi Mailing Address: Ioanninon 170 TX 41222 Larisa GREECE
Contact Phone: +0306942470814, email: k.karathanasi@gmail.com
14. 14
Abstract
INTRODUCTION: Tissue and organ transplanta-
tion is one of the most important evolutions in
health sciences, helping end stage patients to
maintain alive and improve their quality of life.
AIM: The aim of the study was to investigate the
ICU nurses attitude and knowledge toward or-
gan donation and transplantation.
METHODS: A cross-sectional study was imple-
mented to all ICU nurses (n=210) of the public
hospitals of the 6th Health Authority of Greece. A
standardized questionnaire with four parts was
distributed to the participants. At the first part,
participants complete their demographics and
at the second their knowledge toward organ
donation (score in a scale 0-100). The third and
fourth parts of the questionnaire refer to nurs-
es’ experience toward organ donation and their
intention for organ donation, respectively. One
hundred fifty eight completed questionnaires
were collected and analyzed (response rate was
75.2%). The study was conducted from Septem-
ber 1st to December 31 2012. The used statistical
methods were t-test, x2-test, Pearson’s correlation
coefficient and multiple linear regression.The sig-
nificance level was set equal to 0.05 and the data
analysis was performed with the SPSS 19.0.
RESULTS: In the field of knowledge regarding
organ donation, nurses scored 73.6 (standard
deviation=14.9). Sixty eight per cent of the re-
spondents answered positively to the question
referring to their intention to become an organ
donor. The major factors they would become
organ donors, were helping their fellow human
beings (97.1%) and saving a human life, accord-
ing to their religious beliefs (91.4%). According
to the results of the multiple linear regression
analysis, the employment at an organ trans-
plantation hospital (p0.001) and the age were
statistically correlated to the knowledge score
(p=0.02). Media (64.6%), congresses (60.1%) and
scientific journals (52.5%) were the major sourc-
es of knowledge toward organ donation and
transplantation.
CONCLUSIONS: Although nurses’ knowledge
and attitude toward organ donation and trans-
plantation were positive, however the percent-
age is being evaluated as low as ICU nurses can
play a defining role at organ donation increase
through their daily contact with the relatives of
a potential organ donor. The nurses’educational
gap toward organ donation and transplantation
came up. Their education must be incorporated
in the health policy planning for the rising of or-
gan transplantation rates.
KEYWORDS: Knowledge, organ donation, trans-
plantation, nurse, attitude
Intensive Care Unit nurses’ attitude and
knowledge toward transplantations and
organs donation
P. Kotsiopoulou, RN, MSc(c), Intensive Care Unit, General Hospital of Tripolis
M.Tsironi, Associate Professor, Department of Nursing, University of Peloponnese
S. Zyga, Assistant Professor, Department of Nursing, University of Peloponnese
I. Moisoglou, RN, MSc. Ph.D(c), Haemodialysis Unit, General Hospital of Lamia
P. Galanis, Department of Nursing, Senior Researcher in the Center of Health Services Management
Evaluation, National and Kapodistrian University of Athens
P. Prezerakos, Assistant Professor, Department of Nursing, University of Peloponnese
Corresponding author:
P.Prezerakos, Address: Orthias Artemidos Plateon, P.C. 23 100, Sparta, Phone number: (210) (27310) 89
728, 6976 333 405, email: panprez@uop.gr
ORIGINAL PAPER
15. 15ΤΕΥΧΟΣ/ISSUE 38
Abstract
INTRODUCTION:The Omaha system refers to all
stages of the nursing process, and it is specially
studied for application in the community and
its use is without copyright. It is possible to be
used by different health professionals and it is
complementary to other recognized taxonomic
systems.
AIM: The translation of the Omaha classification
system in Greece for use in practice, research and
education by all possible users.
METHOD: The taxonomic system was translated
into Greek and both texts – English and Greek
– were compared for accuracy and clarity by an
experienced public health nurse and researcher.
Then, it was compared with the official Greek
translation of the NANDA classification system,
so that common terms use the same Greek
wording to avoid conflict when using the system
in. The Omaha System was then applied during
home visits in families that had a member
with Alzheimer’s disease. A known Alzheimer’s
disease case or investigation for it in a family
member was the study inclusion criterion. The
study sample was a convenience one and the
problems that the patients and their carers
confronted were registered in free text, which
was analysed using qualitative content analysis
for recognition of the system nomenclature. The
visits for data collection took place between
November 2010 and March 2011 with mean visit
duration 1.5 hours.
RESULTS: Six case studies were included with
40 problems that the family and members were
facing. The most common problem was Mental
health, followed by Medication regimen and
Caretaking/ parenting.This finding is common in
a population with Alzheimer’s disease. As for the
InterventionSchemethemostcommoncategory
was Teaching, Guidance and Counseling which
are typical of community nursing services.
CONCLUSIONS: Although the study sample
was small, it was proven that it can be used to
inform the health services for the needs of the
clients and guide the appropriate staffing and
education of health care professionals. Further
application of the system both for research
purposes as well as for practice development in
other community groups, could reveal not only
thesystem’svalueforpracticebutalsocontribute
to the improvement of the Greek translation.The
next step is to develop information programs
and printed materials for the use of the system.
KEYWORDS: Omaha System, community
nursing, Greece, Alzheimer’s disease.
ORIGINAL PAPER
Translation, Application and Evaluation of
the OMAHA System in community Nursing
Practice in Greece
Ch. Habrysh, RN, BSc, MSc.
P. Sourtzi, Professor, Faculty of Nursing, National and Kapodistrian University of Athens
Corresponding author:
Ch. Habrysh, 5 Papadiamanti str., 11141 Athens, Greece Tel.: +306972559472, email: christinacrg@
hotmail.com
