The Department of Nursing University of Peloponnese was founded - - PowerPoint PPT Presentation

The Department of Nursing University of Peloponnese was founded according to the published issue of Government Gazette 3391/2005/FEK/240/4-10-2005 and it began to function from the academic year 2005-2006, providing possibilities for a creative student life in an exceptional, natural and cultural environment in the historical area of Sparta. Renseignements: http://sparti.uop.gr/~nosil/index.html

History- Histoire

 The University of the Peloponnese was founded in 2000

(Presidential Decree 13/2000). The seat of the University is in

• Tripolis. The University is being developed at the level of complete

Faculties in the five capitals of the Prefectures in the Region of Peloponnese The operation of the University was inaugurated on September 20th of 2002 with the launch of the Department of Computer Science and Technology and the Department of Telecommunications Science and Technology, of the Faculty of Science and Technology

 The mission of the establishment and operation of the University of

the Peloponnese, is the creative contribution to the development

• f higher education in Greece with high quality standards, that

correspond to the content of studies, research and teaching requirements of a modern University with a National, European and International scope

Faculties and Departments According to the Presidential Decrees 138/2002, 118/2003 and 109/2006, as well as the Law 3391/2005/ (240) and the Presidential Decree 70/2013, the academic structure of the University of Peloponnese is as follows: Faculty of Economy, Management and Informatics in Tripolis. It contains the following departments:

• Department of Informatics and Telecommunications. This department has emerged from the merging of the

Department of Computer Science and Technology and the Department of Telecommunications Science and Technology. First academic year 2013-14

• Department of Economics - http://econ.uop.gr/~econ

Its first academic year was 2003-04 Faculty of Humanities and Culture Studies in Kalamata It contains the following departments:

• Department of History, Archeology and Cultural Resources Management - http://kalamata.uop.gr/~hamccd/•

Department of Philology - http://kalamata.uop.gr/~litd/ The first academic year for the first department was 2003-04 and for the second department 2005-0 Faculty of Social Sciences in Corinthos It contains the following departments:

• Department of Social and Educational Policy - http://dsep.uop.gr/• Department of Political Science and International

Relations - http://pedis.uop.gr/ The first academic year for the first department was 2003-04 and for the second department 2007-08. Faculty of Fine Arts in Nafplio It contains the following department:

• Department of Theatre Studies - http://ts.uop.gr/

Its first academic year was 2003-04. Faculty of Human Movement and Quality of Life Sciences in Sparta It contains the following departments:



• Department of Sports Organization and Management - http://sparti.uop.gr/~toda/



• Department of Nursing - http://sparti.uop.gr/~nosil/

The first academic year for the first department was 2003-04 and for the second department 2005-06.

Postgraduate Studies Department of Theatre Studies Without Postgraduate Program Department of Political Science and International Relations Without Postgraduate Program Department of Computer Science and Technology



Master of Science Program Department of Sports Organization and Management



M.Sc. Master in Sport Management



Master Degree Program with the title "Olympic Studies, Olympic Education, Organization and Management of Olympic Events" Department of Economics



M.Sc in Economic Analysis



M.A. in Public Management Department of Philology



Interdepartmental Postgraduate program in Moral Philosophy Department of Nursing



Health Care Management and Crisis Management Department of Social and Educational Policy



Postgraduate Program of the Department of Social and Educational Policy



Ø Educational Programs and Materials



Ø Health Institutions and Policies



Ø Social Discriminations, Migration and Citizenship Department of Telecommunications Science and Technology



MSc Program in Advanced Telecommunication Systems and Networks Department of History, Archaeology and Cultural Resources Management



Without Postgraduate Program

 Permanent:

• 12 Universitaires: 3 professeurs associes, 5

professeurs assistants, 4 maitre de conferences

• 15-20 sous contrat - vacataires
• 2 membres (Special Laboratoire personnel educatif)
• 2 membres (Special Technical personnel educatif)
• 2 administratifs

De tous les temps evolution des scores des etudiant(e)s de Dep. des infirmier(e)s au Universite de Peloponnese (Source : Ministere d’ education et religions

et formation continue http://www.ypepth.gr/efarmoges/baseis.php)

Annee academique Score de 1er Score de dernier(e) 2005-2006 16725 15683 2006-2007 16655 15938 2007-2008 16897 15714 2008-2009 17922 15868 2009-2010 17153 15636 2010-2011 18140 16435 2011-2012 16733 14855 2012-2013 16380 14644 2013-2014 16424 13964

2005 2006 2007 2008 2009 2010 2011 2012 2013 Total Athletes 1 1 Immigrantes 1 1 2 Raisons de sante 1 2 2 3 3 4 2 17 Examen d’autre ecole ou universite 3 3 5 3 6 6 6 17 Chypriotes 1 1 1 3 3 1 13 23 Pan- hellenique examen 90% 46 72 73 94 100 116 107 159 142 909 Pan- hellenique special 10% 16 16

2005 2006 2007 2008 2009 2010 2011 2012 2013 Total

Grec a l’ etranger

1 1

Musulmanν. minorite

1 1 1 1 1 5

Special besoins

2 2

Categories Specials Maladies serieuses 5%

1

Total 52 79 82 104 109 130 120 167 176 1019

2006- 2007 2007- 2008 2008- 2009 2009- 2010 2010- 2011 2011- 2012 2012- 2013

Etudiants- sous licencie

114 168 251 265 317 291 358

Master- etudiants- poste licencie

41 33 41 38

De Doctorat etudiants

9 9 10 19 20

ΤΜΗΜΑ ΝΟΣΗΛΕΥΤΙΚΗΣ – ΠΑΝΕΠΙΣΤΗΜΙΟ ΠΕΛΟΠΟΝΝΗΣΟΥ NURSING DEPARTMENT – UNIVERSITY OF PELOPONNESE

Pour obtenir la license l’etudiant doit:

 avoir au moins huite (8) semestres educatifs S’escrire, suivre et s’examiner avec succes a 46 cours obligatoires et a 12 cours obligatoires apres choix  Obtenir 240 ECTS

Mobilite des etudiants sortants Mobilite des etudiants entrants - free movers Mobilite des universitaires Mobilite incoming professeurs

2012-2013:6 2011-2013:7 2012-2013:5 2012-2013:5 2013-2014:6 2013-2014:8 2013-2014:7 2013-2014:3 t=12 t=15 t=13 t=8

2 UNIVERSITY’S DEPARTMENTS: a Athenes (National & Kapodistrian University of Athens) et a Sparti (University of Peloponnese) 8 Technological Educational Departments (TED)

 ΤΕD OF THESSALIA  TED OF ATHENS  TED OF CRETE,IRAKLEION  TED OF IPIROY, IOANNINA  TED OF THESSALONIKI  TED OF PATRA  TED OF LAMIA  TED OF KAVALA (DIDIMOTEICHO)

AUJOURD’HUI CONDITIONS «ATHENA»

GEO EOGRAPH PHIQ IQUE APP PPARTE TEMEN MENTS TS CIT ITES ES AVEC EC UNIV IVER ERSI SITE TES CIT ITES ES AVEC EC TE TED CIT ITES ES AVEC EC UNIV IVER ERSI SITE TES S OU TED TED ΘΡΑΚΗ ΑΛΕΞΑΝΔΡΟΥΠΟΛΗ, ΟΡΕΣΤΙΑΔΑ, ΞΑΝΘΗ , ΚΟΜΟΤΗΝΗ ΔΙΔΥΜΟΤΕΙΧΟ ΑΛΕΞΑΝΔΡΟΥΠΟΛΗ, ΟΡΕΣΤΙΑΔΑ, ΞΑΝΘΗ, ΚΟΜΟΤΗΝΗ, ΔΙΔΥΜΟΤΕΙΧΟ ΜΑΚΕΔΟΝΙΑ ΘΕΣΣΑΛΟΝΙΚΗ, ΦΛΩΡΙΝΑ, ΚΟΖΑΝΗ, ΕΔΕΣΣΑ, ΝΑΟΥΣΑ, ΣΕΡΡΕΣ, ΒΕΡΟΙΑ ΘΕΣΣΑΛΟΝΙΚΗ, ΣΕΡΡΕΣ, ΜΟΥΔΑΝΙΑ, ΚΑΣΤΟΡΙΑ, ΚΟΖΑΝΗ , ΦΛΩΡΙΝΑ, ΓΡΕΒΕΝΑ, ΚΑΤΕΡΙΝΗ, ΚΑΒΑΛΑ, ΔΡΑΜΑ, ΚΙΛΚΙΣ ΘΕΣΣΑΛΟΝΙΚΗ, ΦΛΩΡΙΝΑ, ΚΟΖΑΝΗ, ΣΕΡΡΕΣ, ΝΑΟΥΣΑ, ΕΔΕΣΣΑ, ΒΕΡΟΙΑ, ΜΟΥΔΑΝΙΑ, ΚΑΣΤΟΡΙΑ, ΓΡΕΒΕΝΑ, ΔΡΑΜΑ, ΚΑΒΑΛΑ, ΚΑΤΕΡΙΝΗ, ΚΙΛΚΙΣ ΗΠΕΙΡΟΣ ΙΩΑΝΝΙΝΑ ΠΡΕΒΕΖΑ, ΗΓΟΥΜΕΝΙΤΣΑ, ΑΡΤΑ, ΙΩΑΝΝΙΝΑ ΙΩΑΝΝΙΝΑ, ΠΡΕΒΕΖΑ, ΗΓΟΥΜΕΝΙΤΣΑ, ΑΡΤΑ ΘΕΣΣΑΛΙΑ ΤΡΙΚΑΛΑ, ΒΟΛΟΣ, ΛΑΡΙΣΑ, ΚΑΡΔΙΤΣΑ ΚΑΡΔΙΤΣΑ, ΤΡΙΚΑΛΑ, ΛΑΡΙΣΑ ΤΡΙΚΑΛΑ, ΚΑΡΔΙΤΣΑ, ΛΑΡΙΣΑ, ΒΟΛΟΣ ΣΤΕΡΕΑ ΕΛΛΑΔΑ ΑΘΗΝΑ, ΑΓΡΙΝΙΟ, ΛΑΜΙΑ, ΛΙΒΑΔΕΙΑ ΑΘΗΝΑ, ΜΕΣΟΛΟΓΓΙ, ΝΑΥΠΑΚΤΟΣ, ΚΑΡΠΕΝΗΣΙ, ΛΑΜΙΑ, ΑΜΦΙΣΣΑ, ΧΑΛΚΙΔΑ, ΘΗΒΑ ΑΘΗΝΑ, ΧΑΛΚΙΔΑ, ΛΑΜΙΑ, ΝΑΥΠΑΚΤΟΣ, ΚΑΡΠΕΝΗΣΙ, ΜΕΣΟΛΟΓΓΙ, ΑΜΦΙΣΣΑ, ΛΙΒΑΔΕΙΑ,ΘΗΒΑ, ΑΓΡΙΝΙΟ

PELOPONNESE (6) KORINTHOS, SPARTI, TRIPOLIS, NAFPLIO, PATRAS, KALAMATA (6) PATRAS PIRGOS AEGION AMALIADA SPARTI ΚΑLAMATA 9

ΝΗΣΙΑ ΙΟΝΙΟΥ ΚΕΡΚΥΡΑ ΛΗΞΟΥΡΙ, ΑΡΓΟΣΤΟΛΙ, ΖΑΚΥΝΘΟΣ, ΛΕΥΚΑΔΑ ΚΕΡΚΥΡΑ, ΛΗΞΟΥΡΙ, ΑΡΓΟΣΤΟΛΙ, ΖΑΚΥΝΘΟΣ, ΛΕΥΚΑΔΑ ΝΗΣΙΑ ΑΙΓΑΙΟΥ ΣΑΜΟΣ, ΣΥΡΟΣ, ΧΙΟΣ, ΜΥΤΙΛΗΝΗ, ΡΟΔΟΣ, ΛΗΜΝΟΣ, ΣΥΡΟΣ, ΣΑΜΟΣ, ΧΙΟΣ, ΜΥΤΙΛΗΝΗ, ΡΟΔΟΣ, ΛΗΜΝΟΣ ΚΡΗΤΗ ΗΡΑΚΛΕΙΟ, ΡΕΘΥΜΝΟ, ΧΑΝΙΑ ΗΡΑΚΛΕΙΟ, ΡΕΘΥΜΝΟ, ΧΑΝΙΑ, ΑΓ.ΝΙΚΟΛΑΟΣ, ΙΕΡΑΠΕΤΡΑ, ΣΗΤΕΙΑ ΗΡΑΚΛΕΙΟ, ΡΕΘΥΜΝΟ, ΧΑΝΙΑ, ΑΓ.ΝΙΚΟΛΑΟΣ, ΙΕΡΑΠΕΤΡΑ, ΣΗΤΕΙΑ

AP APPLICA ICATION ION – SCIE CIENTI NTIFIQU IQUE ZON ONE NO NOMBR BRE DE DES DE DEPAR ARTEMENTS NTS EXISTEES D’ UN UNIVE IVERS RSIT ITE NO NOMBR BRE DE DES DE DEPAR ARTEMENTS NTS NOUVELLES D’ UN UNIVE IVERS RSIT ITE NO NOMBR BRE DE DES DE DEPAR ARTEMENTS NTS EXIS XISTEES TED NO NOMBR BRE DE DES DE DEPAR ARTEMENTS NTS NO NOUVE UVELLES TED NU NUMBR BRE DE DES DE DEPAR ARTEMENTS NTS EXIS XISTES (TOTA OTAL)* )* NU NUMBR BRE DE DES DE DEPAR ARTEMENTS NTS - PLAN AN «ΑTHENA HENA»(TOTA OTAL)

1: Humanitarian, loi, social sciences 111 99 16 13 127 112 2: Basic sciences 58 54 23 12 81 66 3: HEALTH SCIENCES / SANTE 21 21 33 29 54 50 4: Technological sciences 47 46 95 64 142 110 5: Sciences of finances and Management 32 29 44 19 76 48 TO TOTA TAL 269 269 249 249 211 137 137 480 386 386 * No general departments included

Scient Scientific ific ar area ea NOMBR MBRE DES ES IN INTR TRANTS TS 2012 2012 - 2013 2013 EV EVALU LUATI TION DES ES IN INTR TRANTS TS 2013 2013 – 2014 2014 NOMBR MBRE DES ES IN INTR TRANTS TS TE TED 2012 2012 - 2013 2013 EV EVALU LUATI TION ΤΕD 2013 2013 – 2014 2014 NUMBE MBER OF F IN INCOMER MERS 2012 2012 - 2013 2013 (TO TOTA TAL) EV EVALU LUATI TION 2013 2013 - 2014 2014 (TO TOTA TAL) 1: Human, social and law science 15.305 14.000 1.666 1.000 16.971 15.000 2: Basic sciences 6.370 8.500 1.113 1.100 7.483 9.600 3: HEALTH SCIENCES/ DE SANTE 4.625 4.600 4: Technological sciences 4.675 6.900 8.208 5.000 12.883 11.900 5: Sciences of finances and management 4.891 6.500 4.632 2.000 9.523 8.500 TO TOTA TALLY LLY 33.149 33.149 37.800 .800 18.336 18.336 11.800 11.800 51.485 51.485 49.600 .600 * No general departments included and not from 2012

STRA STRATEG TEGIQ IQUE E OBJECTI BJECTIVE VE DE DE PL PLAN AN «ΑTH THEΝΑ»

Role d’ education univ univer ersitair itaire

Promotion d’ education e scien scientifi ifique et techologiq logique Pr Promoti motion de recherche et et inn nnova vation

• n et

et connection ion avec le le mar marche du travail vail , , le le comme mmerce, & & fina finances developm lopment de person sonnel l compe mpetit itiv ive dans dans Eur Europe

 En Grece il y a 1.79 infirmiers pour 1000 persons, alors que,

en France: 7.24, en Allemagne: 9.72, Estonie: 8.5, Irlande 15.2, Italie 5.44, Litouanie 7.6, Pollogne 4.9, Hollande 13.73, Norvege 14,84.

 Indice: 1.79/1000 personnes, sous de: Bulgarie 3.75, Chypre

3.76, Roumanie 3.89

 Peu des infirmiers, et 40% reduit des salaires et horaires

extenuants

 travail par equipes: dans l’apres midi 3p.m.-11p.m, matinal

7a.m.-3p.m., nocturne 11p.m.-7a.m. Sans12 heures de repos

Source: Economou,2010

Professionnels de la sante 1990 1995 2000 2004 2005 Infirmier(e)s 3.43 3.59 2.72 3.27 3.21 Medecins 3.4 3.86 4.33 4.88 5.35 Medecins generals n/a n/a 0.25 0.29 0.31 Medecins speciales 2.19 2.58 3.09 3.29 3.39 Dentistes 0.99 1.00 1.13 1.2 1.27 Pharmaciens 0.74 0.79 0.82 0.86 0.88

 Health system in Greece follows the evolution

• f the Greek state it self

 Whereas in most countries Health systems start

developing just after second world war, Greece comes into the phase of evolution and reform just after1974 – falling of military dictatorship

 Firstly, a serious effort of application of a well

structured health system occurs in 1983, with the establishment of National System of Health (L. 1397/83)



1er periode 1833 – 1922 :

• Creation of first insurance services
• Founding of Hospitals and School of medicine of University of Athens
• Basic laws fro the organization of the health system



2me periode 1922 – 1945:

• Financial help (loans) towards the improvement of health and Hygiene

conditions and creation of 35 new temporary hospitals due to incoming of 1,5 million refugees from Eastern (small) Asia.

• Founding of Ministry of Health, Welfare and Perception(L.2822/1922).
• Founding of Institution of Social Securities (L.6298/1934).
• Enactment of preconditions of the organization and function of public

hospitals



3me periode 1945–1974:

• Adaption of federal politics and social control of health services
• Founding of Organization of Insurance of Agricultural workers (L.

4169/1961)

• Establishment of a service in rural area (agriculture) (L. 67/68)



4me periode 1974 – aujourd’hui, avec 3 parts: (α) period before the founding of NHS :

• Proposition from a Governmental Centre (Program & Finances): to

create a united National Health service, unification of insurance sectors and social design for covering health needs

• Plan of Doxiadis: the most important effort to create a modern health

system (never took place due “pressures” from the political- medical lobbies) (b) Founding of N.H.S. L. 1397/83: Founding of Central Council of Health, of National Organization of Drugs and N.H.S

›

L.1397/83:for the first time the basis for the development of N.H.S takes place

›

Main characteristics: decentralization, social control, united program, emphasis on Primary Health Care and creation of Health centers (c) Periode apres creation du N.H.S.: Reports foreign and Greek experts (1994), «Plan for the citizen» (2000), introduction of management in hospitals (Ν.2889/2001), Changes in to organization L.3329/2005, 3527/2007 and very recently L. 4238/ 2014 ABOUT Primary H.C.

 Public health sector deals with important problems of

• rganization, management, quality and efficiency in its

services

 Demographic changes, epidemiology characteristics, new

technologies were managed with laws without substantive business and governmental scheduling

 Health cost refers to hospitals’ cost which is almost the half of

total health expenses

Main problems are:



Lack of design of national strategy about social security: disintegration of the system causes big problems of financial efficiency. Organization of social security based on the professional group means that fate of many funds depends on that of the status of corresponded occupational groups



Inefficiency of ways of financing health units: existence of hospital deficits due to no correlation between nursing cost/ real cost leads to more state funding that contribute to phenomenon of illegal ways of financing and uncontrolled expenses



Lack of motives to increase productivity and staff in Primary health care units:

• ver crowded urban centers



Lack of a system of assurance of quality, efficiency and productivity of services

Aide Sante publique- soins primaire de sante

Services dans l’ hopital Services dehors l’hopital

Community nursing is the combination of knowledge of general nursing and public health

 1970: Public nursing or health renamed

to Community Nursing

 1977: 30η World Health Summit

introduces the idea of (Health for all)

 12/9/1978 Declaration in Alma- Ata,

S.U., in International Meeting for primary Health Care (WHO & UNICEF) binds all members to basic principles of Health to all until 2000. 10 articles & 38 aims

Servicing and promotion of general health of the population with the reinforcement of

• persons
• families
• groups, so as:
• to recognize their needs and
• to take over the responsibility

to solve problems related to their health

• Where?: outside hospital environment
• Population: not only patients but healthy, as well- total of the

population

• Focus: prevention and promotion of health and not only cure and

nursing

• Encouragement of persons’ and families’

participation

• Long-lasting, continuous relation with person/

family

• Need of inter-disciplinary co-operation and with
• ther social services

• Prevention of disease, disability,

premature death & Health promotion ( 3 levels of care)

• Provision of total health care and nursing
• Training of health personnel and

unofficial carers

• Epidemiological surveillance

 Nutrition  Physical activity and condition  Use of smoke, alcohol and drugs  Family planning  Mental health  Abuse and violence  Accidents  Environmental health  Health in the workplace  Oral health  Infectious diseases  Chronic diseases  Vaccination  Protection against STD  Diagnostic Exams:

Test PAP, Breast Touch

• Counseling
• Application of nursing elaboration (location of problems/

needs, design, application, evaluation)

• Documentation of nursing care!!! Nursing protocols in Primary

health care (12) and (36) in Home care are being developed

• Co-ordination of the team working- Communication with

political and social authorities and services

• Research
• Data files , statistics, epidemiological data

A. Sous licencie B. Apres licencie

Public health:



Community Nursing



Home Nursing (Caring of chronic patients, with special needs/ or disabilities, in rehabilitation, terminally ill)



Health & safety in workplace



Transcultural nursing (immigrants)



Epidemiology



Demography



Bio-statistics



Prevention of diseases



Environmental health



Psycho social health



Family nursing



Travellers’ Health



Gerontology nursing

 Introduction, Definitions, History 

Principles & Criteria of Community Nursing



Epidemiological profile of Community



Theories of Community Nursing



Health Promotion



Health Education



Healthy environment and Nursing



Transcultural Nursing



Family Nursing



School Nursing

 Occupational Health Nursing 

Home Nursing



Community and disaster/ emergency nursing

Public Health (A) Community Nursing Family Nursing Health in Workplace Gerontology nursing School Nursing Crisis health management Management of health services- Crisis

management (S)

 Epidemiology  Psychology, Sociology, Sciences of behaviour  Social politics  Nursing plan (person, family, group)  Finances  Health education  rehabilitation  Law  research  Practice in P.H.C. units

Practice of under graduate students in Pref. Of Lakonia- H.C.

Sparti H.C. - OM.Per.

• Areopolis Γερολιμένα, Κοκκάλας, Κότρωνα, Οιτύλου,

Πύργου Δυρού

• Gutheion Ξηροκαμπίου, Αγ. Νικολάου, Μελιτίνης Άρνας,

Κροκεών, Μυρσίνης, Πετρίνας, Πλατάνου, Σκουαρίου, Χωσιαρίου, Γεωργιτσίου, Καστρίου, Βρεσαθένων, Σελασσίας, Λογγάστρας

• Kastorion Λειτουργεί ως Περ.Ι.
• Neapolis Ελαφονήσου, Βελανιδιών, Ελίκας, Δαιμονιάς,

Κάμπου Βοιών

• Vlachioti Γερακίου, Σκάλας, Σκούρας, Καρυών, Δαφνίου

Molaoi

• Molaoi Κυπαρισσίου, Ρειχέως, Απιδέας, Μονεμβασιάς,

Συκέας, Ασκωπού, Νιάτων

 General Hospital of Lakonia (E.R./ O.P.C.)  Nursing Home of Sparti  Rehabilitation Center of Chronic Ill of Holly

Metropolis Monemvasia and Sparti

 Center of Elderly protection of Municipality  Precention center of addictions and promotion

• f psycho-social health of the Prefecture

(ΟΚΑΝΑ)

 Red Cross–Dep.of Sparti  Mobile Unit of Mental Health  Hospice of mental Health

‘’Υakinthos’’



Department of National Statistical Service in Sparti



General Administartion of Public Health & Social Care in the Prefecture of Lakonia α. Dep. of Environmental Health and Hygiene control

• b. Dep. of Social Aid
• c. Dep. of pharmacy and drugs



Program ‘’ Home aid’’



Factories

Health Promotion in Community (1)-students-

Epidemiological study Population of H.C. Programs of health promotion and prevention Research programs of H.C. AIM: development and application of health education programs through application of rules, team working, co-operation of all parties, scientific and not, administrative and mostly, active participations of community’s habitants

• Bibliography
• Research protocols (tools)
• Recognition of population study
• Making of study:

 Data  Tests, diagnostic exams or filling in tools

• Article/ assignment – Conclusions, proposals

Health Promotion in Community (2) -students-



Schools (as nurses & health educators)



Workplaces (as OHNs factories, industries, private companies of health promotion services, in Ministry of Labor and Health



Home nursing (private and public services- in progress…)& Tele-care services



Trans-cultural nursing services (with immigrants in hospitals, HC, in islands..)



Palliative care services (Chronic ill and terminally ill) (in private and public services-Greek Orthodox Church services)



Epidemiology Services (in Center of Epidemiological Surveillance and Prevention of diseases- KEELPNO- Ministry of Health)



Special Needs & Disabilities Services (Ministry of Labor, Health, Social Services, private servises, Voluntary services, Non- Governmental Organizations-NGOs-,)



Geriatric services (Private and public ones)



Heath Centers of Public Hospitals- Primary Health Sector (L.4238/2014)

Greek school nurses work in (Laws of 1985, 2000, 2001, 2003, 2005):

 Primary education -

Private schools



Secondary education- Technical public & private



Units of special education - Special Primary schools, Τ.Ε. of Special education

Duties of Greek school nurses  giving of medicines

 School pharmacy  First aid  Nursing protocols  Observation and surveillance of children health  lessons of health education Education of nursing students  Training and health education of teachers  Counseling of students and parents  Environmental evaluation and risk assessment in school workplace

Perspective of School nurses

 Nurse: co-ordinator of health education programs  Research for evidence based practice is a necessity

Work accident

Occupational diseases

 In Greece, until the 80’s, health visitor

was the nursing specialty that was

• ccupied in the community with public

health issues and home care

 After Greek legislation in force, nurses

graduated from faculties and technological foundations of nursing, walk into the fields of occupational health and safety

 OHN topics are covered in all faculties and

technological foundations as main topics or as a part

• f relative community health nursing topics

 (2 universities, with one nursing faculty each and 9

technological foundations with 13 nursing departments totally-including 1 of health visitors and 3 of midwifes)

 The main method of teaching is by lectures, with the

• pportunity of seminars, project work and

educational visits in work places. The length of weekly time allotted for OH nursing topics was only on average on 2 h (range: 2-4h) in one or two semesters

 A total of 14, is the educational personnel responsible

for teaching OHN, with only 3 of them, having OHN special academic qualifications (Tziaferi & Sourtzi, 2010)

 Need for the development of a standardized

education program in Greece

 OHN is the specialty in which the majority of

nurses is occupied internationally, except Greece

 Modern development of Primary Health Care

Services in Greece, recommends that all nurses should receive training in basic concepts of OHN so that they will be able to change the working environment in collaboration with the worker in order to maintain or improve health and safety for all individuals and to play an important role in the development and promotion of OHN as a main part of the Greek nursing science

Occupational health has been described as the 'promotion and maintenance of physical and mental well-being of all staff', by concentrating on the provision of a safe and healthy workplace where the welfare of staff is a major factor

 Risk assessment  Risk management  Prevention  Protection of vulnerable people  Reinsertion after injury or illness  Health promotion

The Federation of Occupational Health Nurses within the European Union is a nonprofit making organization. The Federation was founded on March 21st 1993 in the United Kingdom. FOHNEU was registered on June 27th 1996 in Brussels, Belgium. Registration No. 14230-96

• 1. To contribute to the total health, safety and well-being of

the European working population

• 2. To raise the profile of Occupational Health Nursing within

the European Union

• 3. To promote European training, education and standards

for professional qualifications

• 4. To encourage research into areas of occupational

health practice, education, management and service provision with appropriate dissemination and publication

• f results
• 5. To maintain an open dialogue with the EU organizations

responsible for health and safety, public health and EU nursing authorities

OHN specialization content I

In all programs are included:

 Health promotion and health education  Prevention policies at the workplace  Environmental surveillance and health

protection

 Emergency care at the workplace

OHN specialization content II

In almost all programs are included:

 Health assessment and surveillance  Occupational Epidemiology  Organisation and Administration of OH

Services

 Risk assessment methodology

Year Belgium Denmark Finland France Germany Greece Hungary Ireland the Netherlands Portugal Romania Spain Sweden UK

2005 850 80 2400 5000 N/I 100 N/I 200 1200 600 N/I 11000 1300 4000 2009 N/I 95 2355 5000 1500 100 3500 200 1000 650 N/I N/I 1200 7500 2012 800 150 2355 5000 N/I 100 2646 200 400 300 N/I N/I 1200 3332 2000 4000 6000 8000 10000 12000 2005 2009 2012

country barrier Belgium

professional recognition

Denmark

OHNs do not have tradition in performing independent research but many participate in research projects. Some OHNs do not have enough knowledge how to search for financial support to perform research

France

varied resources and levels of collaboration with others in the multidisciplinary team place research out of reach of many OHNs

Greece

funding, experience, support, competition with OHPs

Hungary

lack of research experience

Ireland

funding and time constraints, lack of resources

Spain

financial resources and media

Sweden

lack of knowledge

Turkey

financial, time, legal permission, training

UK

support from employers

Infirmier(e)s

Skills of nurse in emergency & in the Community

Brayan et al 1997; Jester 1998; Duke & Street 2003

 1. Nursing observation & evaluation of

needs of person/ family

 2. education& health promotion of

person/ family

 3. rehabilitation exercise  4. Non septic techniques (intravenus,

intra-muscular injections, catheter in bladder etc)

 5. management of drugs and doctor

instructions

 6. Control & improvement of dietary

habits of person/ family

 7. Care of skin, trauma & bed rest

 - voluntary action  - professional  - inter-disciplinary  - on primary level: personalized care

taking into account environmental factors (Family /home-workplace)

 Globalization  Moving population  Health problems of immigrants  Increased variety

69

 Communities  Families  Groups traumatized  Moving population  28.000 (in Greece)- first line during a disaster  NGΟs (Medecins sans frontieres, du monde, Red Cross )  World networking of nurses



Nurses



doctors



physiotherapist



speech-therapist



psychologist



Home- domestic aid



volunteer



Other specialties



Rehabilitation team:

• Person with special needs and his family
• Nurse (specialties)
• Physician (specialties)
• Health visitor
• Physiotherapist
• Social worker
• Psychologist
• Work-therapist
• Speech-therapist
• Τorthopedist
• Welfare worker
• Special educator
• Counselor of work re-orientation
• Priest (Greek Orthodox) or other
• Other

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