Christina Ouzouni - Academia.edu (original) (raw)

Papers by Christina Ouzouni

A number of studies have identified that doctors and nurses had negative attitudes towardshospita... more A number of studies have identified that doctors and nurses had negative attitudes towardshospitalised patients who have attempted suicide, and there some evidence that these attitudeshave a negative impact upon the quality of patients' care as well as in the prevention of patients'future attempt to suicide. The present study used a cross-sectional research design to explore the attitudes of doctors', and nurses' working in Greek general hospitals, towards hospitalised patients who have attempted suicide. Data were collected using a likert type scale assessing attitudes towards attempted suicide patients. The scale was developed by the researcher, based on an instrument developed by Domino et al. (1982) and on concepts emerging from the literature review. In order to establish the scale's construct validity a factor analysis was performed in 186 (n=186) respondents and the following 8 factors emerged: positiveness, acceptance, religiosity, care, manipulation, per...

Τα τελευταία χρόνια έχει παρατηρηθεί αυξημένο ενδιαφέρον για την ποιότητα ζωής που συνδέεται τόσο... more Τα τελευταία χρόνια έχει παρατηρηθεί αυξημένο ενδιαφέρον για την ποιότητα ζωής που συνδέεται τόσο με δείκτες αποδοτικότητας -αποτελεσματικότητας όσο και την αντικειμενική και υποκειμενική κατάσταση της υγείας των ασθενών. Τα ερωτηματολόγια της ποιότητας ανιχνεύουν ψυχοκοινωνικά προβλήματα που εμποδίζουν την θεραπευτική ανταπόκριση και βοηθά στην έκταση και διάγνωση της αναπηρίας τους. Το μηνιγγίωμα θεωρείται ιστολογικά καλοήθης όγκος με αργό ρυθμό ανάπτυξης. Εμφανίζει ελάχιστα ποσοστά υποτροπής επί ολικής χειρουργικής εξαίρεσης. Σκοπός: Σκοπός της παρούσας μελέτης ήταν να διερευνηθεί η ποιότητα ζωής των ασθενών με χειρουργηθέν μηνιγγίωμα εγκεφάλου με σκοπό την βελτίωση της έκβασης της νόσου. Μεθοδολογία: Η μεθοδολογία που χρησιμοποιήθηκε ήταν η ανασκόπηση της ελληνικής και διεθνούς βιβλιογραφίας της τελευταίας δεκαπενταετίας στις βάσεις δεδομένων (Pubmed, Scopus, Google Scholar,Medline). Οι λέξεις κλειδιά που χρησιμοποιήθηκαν για την αναζήτηση των μελετών ήταν: «μηνιγγίωμα», «ποιότητα ζωής» , «SF36», «ασθενείς», «σχετιζόμενη με την υγεία ποιότητα ζωής». Αποτελέσματα: Η ανασκόπηση της βιβλιογραφίας έδειξε ότι η ποιότητα ζωής των ασθενών με χειρουργηθέν μηνιγγίωμα εγκεφάλου εξαρτάται από διάφορους παράγοντες με κυριότερους την θέση και την προσβασιμότητα του όγκου. Κατ΄ αντιστοιχία η θεραπεία δεν περιορίζεται αποκλειστικά στην χειρουργική αλλά απαιτείται συνδυασμός με ακτινοβολία για καλύτερα αποτελέσματα. Εμφανίζει ελάχιστα ποσοστά υποτροπής επί ολικής χειρουργικής εξαίρεσης ενώ στην υφολική εμφανίζει 48% υποτροπή στην πενταετία. Μηνιγγιώματα με μειωμένη προσβασιμότητα για χειρουργική εξαίρεση όπως αυτά του σκηνιδίου και αποκλίματος σημειώνουν μεγάλη νοσηρότητα, θνησιμότητα και χαμηλή σωματική λειτουργικότητα. Στα ενδοκοιλιακά παραμένουν οπτικές διαταραχές, της οσφρητικής αύλακας επιληπτικές κρίσεις. Επιπλέον, σημαντικός προγνωστικός παράγοντας θεωρείται το περιεστακό οίδημα το οποίο πιθανόν να σχετίζεται με την επιθετικότητα του όγκου. Τέλος, πιθανός παράγοντας υποτροπής είναι ο αριθμός μιτώσεων στην παθολογοανατομική εξέταση. Συμπεράσματα: Η ποιότητα ζωής των ασθενών με χειρουργηθέν μηνιγγίωμα εγκεφάλου κυμαίνεται σε σχετικά χαμηλά επίπεδα και έχει άμεση σχέση με την θέση εντόπισης του όγκου και την επιλογή της θεραπείας. Λέξεις-κλειδιά: Μηνιγγίωμα, ποιότητα ζωής, σχετιζόμενη με την υγεία ποιότητα ζωής, ερωτηματολόγιο SF36, ασθενείς.

Health & Research Journal, 2018

Introduction: Lately it has been noticed an increasing interest about the quality of life that is... more Introduction: Lately it has been noticed an increasing interest about the quality of life that is related to theperformance - effectiveness indicators and also to the objective and subjective state of patients’ health.Psychosocial problems are detected by quality questionnaires which may bother the healing process and help tothe disability rate and diagnosis of the disability. Meningioma is concerned as a benign tumor which is growingslowly .Usually the relapse rates are low in total surgical excision.Aim: The aim of the present review was to explore quality of life of patients surgically treated for brainmeningioma, in order to improve disease outcomes.Methodology: The methodology that was used included the review of the Greek and international literature of thelast fifteen years in the databases (Pubmed, Scopus, Google Scholar,medline). The keywords that were used tosearch for the study were: “meningioma", “quality of life”, “SF36”, “patients” Health related quality of life”....

Background: Nowadays reported global suicide attempt rates have increased dramatically and there ... more Background: Nowadays reported global suicide attempt rates have increased dramatically and there is some evidence that failure by health care professionals to recognize and respond to the needs of a suicidal person may be a factor in the repeated suicide attempts of some people. Moreover, research evidence has indicated that unfavorable attitudes among doctors and nurses exist towards attempted suicide patients, which have a negative impact upon the quality of care they receive. The aim of the study was to develop, pilot and validate a measure of attitudes towards patients who have attempted suicide. Method and Material: A questionnaire comprising 102 items was constructed from a existing validated instrument in combination with findings from a literature review. A pilot study was carried out with a sample of 40 (n=40) doctors and nurses, to assess the feasibility and acceptability of the instrument developed. Questionnaires were then distributed to a sample of 186 (n=186) doctors and nurses, working in two general hospitals in Athens area. In order to establish the scale’s construct validity a factor analysis was performed. In addition, a face validity of the measurement tool was assessed by a group of experts. Reliability of the questionnaire was assesses by test - retest. Results: Preliminary analysis reduced the 102 items of the questionnaire to 80. The following eight factors were retained: “positiveness”, “acceptability”, “religiosity”, “professional role and care”, “manipulation”, “personality traits”, “mental illness”, “discrimination”. The 8 factors yielded accounted for the 55.45% level of the total variance. The resultant “Attitudes Towards Attempted Suicide-Questionnaire (ATAS-Q) achieved high internal consistency, with Cronbach’s alpha of 0.96 (a=0.96) in test and a=0.97 in retest assessment. Conclusions: The construction, development and validation of the ATAS-Q will provide a useful measurement tool, enabling health care professionals to enhance their understanding of their attitudes towards patients who attempt suicide in order to enhance the provision of effective care to them.

Cukurova Medical Journal

Purpose: The aim of this study was to examine how often myocardial infarction in abruptly dying p... more Purpose: The aim of this study was to examine how often myocardial infarction in abruptly dying persons with or without known coronary heart disease could be found as well as to estimate the severity of atheromatosis in correlation to gender and age. Materials and Methods: A retrospective study was designed using data from clinical records of 184 cases of adults who submitted with sudden death and underwent autopsy during a period of one year. We studied the demographic characteristics, season and location of death. Symptoms, smoking, alcohol and drug use, circumstances of death were also record. Coronary arteries findings in autopsy, heart weight, localization of myocardial infarction and the presence of an old myocardial infraction were record from autopsy report. Results: 92 patients (54 male, 38 female mean aged 64.8 years) met the inclusion criteria. In the majority of cases an acute myocardial infraction was certified during autopsy (92.4%). Grading severity of coronary arteri...

Circulation, 2018

We read with great interest an original research article on a possible obese phenotype of heart f... more We read with great interest an original research article on a possible obese phenotype of heart failure with preserved ejection fraction (HFpEF) by Obokata et al1 published recently in your journal, which provided extremely important data regarding the cardiovascular structure, function, exercise capacity, and reserve in subjects with obesity-related HFpEF compared with individuals …

Delirium is a common complication in hospitalised patients, however it is often misdiagnosed by h... more Delirium is a common complication in hospitalised patients, however it is often misdiagnosed by health care professionals. Failure to achieve a timely diagnosis results in poor outcomes, prolongation of patient hospitalization, increased costs of hospitalization, increased morbidity and mortality. Aim: To investigate the level of knowledge of nurses with regard to delirium and the care of hospitalized patients with delirium. Material Method: A cross-sectional questionnaire survey was carried out with a sample of 108 (N=108) nurses working in medical and surgical wards in two general hospitals of Athens and in three provincial hospitals. For the data collection, a 28 item questionnaire was developed, based on a preexisting research tool as well as on the relevant literature. The questionnaire additionally Το Βήμα του Ασκληπιού 11ος Τόμος, 1ο Τεύχος, Ιανουάριος – Μάρτιος 2012 Rostrum of Asclepius 11th Volume, 1st Issue, January – March 2012 www.vima-asklipiou.gr Copyright © 2012 Σελίδ...

Health science journal, 2012

Background: HIV and AIDS is a matter of concern because the number of cases has increased dramati... more Background: HIV and AIDS is a matter of concern because the number of cases has increased dramatically over the last ten years. Nursing students need to have appropriate knowledge and attitudes about HIV and AIDS because they are the future health care professionals, therefore will play a key role in prevention of spread and care of people with AIDS. The aim of the study was to explore the knowledge, behaviours and attitudes about HIV/AIDS of nursing students in Greece. Method and Material: A cross-sectional study was carried out in a nursing school of a Technological Educational Institute in Greece. A sample of 279 (N=279) nursing students agreed to participate in the study, giving a response rate of 77.5%. Data were collected using an anonymous questionnaire comprising four self-administered instruments: (a) the International AIDS questionnaire-Chinese Version (IAQ-C), (b) the source of HIV/AIDS information questionnaire, (c) Sexual behaviours/practices and attitudinal questions a...

Despite the fact that nursing research has been developed in Greece, nevertheless the provision o... more Despite the fact that nursing research has been developed in Greece, nevertheless the provision of nursing care is not based on current research findings, but rather on the knowledge gained by nurses during their undergraduate education. The transition of medicine in the last decade

Brazilian Journal of Science, May 13, 2024

Preterm children may experience major challenges that affect their occupational participation and... more Preterm children may experience major challenges that affect their occupational participation and daily functioning, especially at school age. This scoping review aims to examining and synthesizing the available literature about adverse neurodevelopmental outcomes and occupational participation restrictions of preterm children born < 37 weeks of gestation. The MEDLINE, Science Direct, CINAHL databases were searched from January 2013 to December 2023, for published cohort studies that assessed the neurodevelopmental outcomes and occupational participation of school-aged preterm children, compared to full-term born peers. Out of 6631 identified articles, 13 studies met the inclusion criteria and involved 958 preterm children, aged 6-10 years old. Studies included in the current scoping review reported adverse neurodevelopmental outcomes, such as cognitive impairment, executive function and sensory processing deficits, emotional and behavioral problems, language and visual perception difficulties, as well as occupational participation restrictions, like feeding difficulties, academic challenges and peer relationship problems. Findings suggest that neurodevelopmental deficits and occupational participation restrictions, especially in extremely preterm children, not only exist in early childhood but persist during school age. Future research should focus on exploring potential differences or patterns in neurodevelopmental outcomes and occupational participation between preterm groups with different gestational age ranges.

Background: Mental health nursing has been reported as a stressful speciality, with low job satis... more Background: Mental health nursing has been reported as a stressful speciality, with low job satisfaction. Method: An extensive literature search was performed aiming to identify and review research studies that investigate variables which influence stress and job satisfaction of nurses working in mental health settings. Results: This review shows that a variety of factors influence stress and job satisfaction of mental health nurses. Among these, clinical leadership and quality inter-professional collaboration between nurses and doctors and amongst nurses are particularly important. Nurses' job satisfaction was found to be influenced primarily by psychological stress and the quality of clinical leadership. Conclusions: The influence of the quality of collaboration amongst nurses and between nurses and doctors on nurses' job satisfaction is uncertain. A strong negative relationship was found between clinical leadership, inter-professional collaboration, stress and job satisfaction. Although a positive relationship between clinical leadership and nurses' job satisfaction was found, the association between clinical leadership and quality of inter-professional collaboration is unclear. The association between these variables and job satisfaction is positive but tenuous. In addition, a positive but weak relationship was revealed between the clinical leadership and the quality of relationships amongst nurses. Organisational issues, lack of nursing staff and patient care were found to be related to ward type mental health nurses' stress emerged as mediating variables between stress and job satisfaction. A hypothetical model of the relationships between these variables is presented for testing at a future study.

A number of studies have identified that doctors and nurses had negative attitudes towardshospita... more A number of studies have identified that doctors and nurses had negative attitudes towardshospitalised patients who have attempted suicide, and there some evidence that these attitudeshave a negative impact upon the quality of patients' care as well as in the prevention of patients'future attempt to suicide. The present study used a cross-sectional research design to explore the attitudes of doctors', and nurses' working in Greek general hospitals, towards hospitalised patients who have attempted suicide. Data were collected using a likert type scale assessing attitudes towards attempted suicide patients. The scale was developed by the researcher, based on an instrument developed by Domino et al. (1982) and on concepts emerging from the literature review. In order to establish the scale's construct validity a factor analysis was performed in 186 (n=186) respondents and the following 8 factors emerged: positiveness, acceptance, religiosity, care, manipulation, per...

Τα τελευταία χρόνια έχει παρατηρηθεί αυξημένο ενδιαφέρον για την ποιότητα ζωής που συνδέεται τόσο... more Τα τελευταία χρόνια έχει παρατηρηθεί αυξημένο ενδιαφέρον για την ποιότητα ζωής που συνδέεται τόσο με δείκτες αποδοτικότητας -αποτελεσματικότητας όσο και την αντικειμενική και υποκειμενική κατάσταση της υγείας των ασθενών. Τα ερωτηματολόγια της ποιότητας ανιχνεύουν ψυχοκοινωνικά προβλήματα που εμποδίζουν την θεραπευτική ανταπόκριση και βοηθά στην έκταση και διάγνωση της αναπηρίας τους. Το μηνιγγίωμα θεωρείται ιστολογικά καλοήθης όγκος με αργό ρυθμό ανάπτυξης. Εμφανίζει ελάχιστα ποσοστά υποτροπής επί ολικής χειρουργικής εξαίρεσης. Σκοπός: Σκοπός της παρούσας μελέτης ήταν να διερευνηθεί η ποιότητα ζωής των ασθενών με χειρουργηθέν μηνιγγίωμα εγκεφάλου με σκοπό την βελτίωση της έκβασης της νόσου. Μεθοδολογία: Η μεθοδολογία που χρησιμοποιήθηκε ήταν η ανασκόπηση της ελληνικής και διεθνούς βιβλιογραφίας της τελευταίας δεκαπενταετίας στις βάσεις δεδομένων (Pubmed, Scopus, Google Scholar,Medline). Οι λέξεις κλειδιά που χρησιμοποιήθηκαν για την αναζήτηση των μελετών ήταν: «μηνιγγίωμα», «ποιότητα ζωής» , «SF36», «ασθενείς», «σχετιζόμενη με την υγεία ποιότητα ζωής». Αποτελέσματα: Η ανασκόπηση της βιβλιογραφίας έδειξε ότι η ποιότητα ζωής των ασθενών με χειρουργηθέν μηνιγγίωμα εγκεφάλου εξαρτάται από διάφορους παράγοντες με κυριότερους την θέση και την προσβασιμότητα του όγκου. Κατ΄ αντιστοιχία η θεραπεία δεν περιορίζεται αποκλειστικά στην χειρουργική αλλά απαιτείται συνδυασμός με ακτινοβολία για καλύτερα αποτελέσματα. Εμφανίζει ελάχιστα ποσοστά υποτροπής επί ολικής χειρουργικής εξαίρεσης ενώ στην υφολική εμφανίζει 48% υποτροπή στην πενταετία. Μηνιγγιώματα με μειωμένη προσβασιμότητα για χειρουργική εξαίρεση όπως αυτά του σκηνιδίου και αποκλίματος σημειώνουν μεγάλη νοσηρότητα, θνησιμότητα και χαμηλή σωματική λειτουργικότητα. Στα ενδοκοιλιακά παραμένουν οπτικές διαταραχές, της οσφρητικής αύλακας επιληπτικές κρίσεις. Επιπλέον, σημαντικός προγνωστικός παράγοντας θεωρείται το περιεστακό οίδημα το οποίο πιθανόν να σχετίζεται με την επιθετικότητα του όγκου. Τέλος, πιθανός παράγοντας υποτροπής είναι ο αριθμός μιτώσεων στην παθολογοανατομική εξέταση. Συμπεράσματα: Η ποιότητα ζωής των ασθενών με χειρουργηθέν μηνιγγίωμα εγκεφάλου κυμαίνεται σε σχετικά χαμηλά επίπεδα και έχει άμεση σχέση με την θέση εντόπισης του όγκου και την επιλογή της θεραπείας. Λέξεις-κλειδιά: Μηνιγγίωμα, ποιότητα ζωής, σχετιζόμενη με την υγεία ποιότητα ζωής, ερωτηματολόγιο SF36, ασθενείς.

Health & Research Journal, 2018

Introduction: Lately it has been noticed an increasing interest about the quality of life that is... more Introduction: Lately it has been noticed an increasing interest about the quality of life that is related to theperformance - effectiveness indicators and also to the objective and subjective state of patients’ health.Psychosocial problems are detected by quality questionnaires which may bother the healing process and help tothe disability rate and diagnosis of the disability. Meningioma is concerned as a benign tumor which is growingslowly .Usually the relapse rates are low in total surgical excision.Aim: The aim of the present review was to explore quality of life of patients surgically treated for brainmeningioma, in order to improve disease outcomes.Methodology: The methodology that was used included the review of the Greek and international literature of thelast fifteen years in the databases (Pubmed, Scopus, Google Scholar,medline). The keywords that were used tosearch for the study were: “meningioma", “quality of life”, “SF36”, “patients” Health related quality of life”....

Background: Nowadays reported global suicide attempt rates have increased dramatically and there ... more Background: Nowadays reported global suicide attempt rates have increased dramatically and there is some evidence that failure by health care professionals to recognize and respond to the needs of a suicidal person may be a factor in the repeated suicide attempts of some people. Moreover, research evidence has indicated that unfavorable attitudes among doctors and nurses exist towards attempted suicide patients, which have a negative impact upon the quality of care they receive. The aim of the study was to develop, pilot and validate a measure of attitudes towards patients who have attempted suicide. Method and Material: A questionnaire comprising 102 items was constructed from a existing validated instrument in combination with findings from a literature review. A pilot study was carried out with a sample of 40 (n=40) doctors and nurses, to assess the feasibility and acceptability of the instrument developed. Questionnaires were then distributed to a sample of 186 (n=186) doctors and nurses, working in two general hospitals in Athens area. In order to establish the scale’s construct validity a factor analysis was performed. In addition, a face validity of the measurement tool was assessed by a group of experts. Reliability of the questionnaire was assesses by test - retest. Results: Preliminary analysis reduced the 102 items of the questionnaire to 80. The following eight factors were retained: “positiveness”, “acceptability”, “religiosity”, “professional role and care”, “manipulation”, “personality traits”, “mental illness”, “discrimination”. The 8 factors yielded accounted for the 55.45% level of the total variance. The resultant “Attitudes Towards Attempted Suicide-Questionnaire (ATAS-Q) achieved high internal consistency, with Cronbach’s alpha of 0.96 (a=0.96) in test and a=0.97 in retest assessment. Conclusions: The construction, development and validation of the ATAS-Q will provide a useful measurement tool, enabling health care professionals to enhance their understanding of their attitudes towards patients who attempt suicide in order to enhance the provision of effective care to them.

Cukurova Medical Journal

Purpose: The aim of this study was to examine how often myocardial infarction in abruptly dying p... more Purpose: The aim of this study was to examine how often myocardial infarction in abruptly dying persons with or without known coronary heart disease could be found as well as to estimate the severity of atheromatosis in correlation to gender and age. Materials and Methods: A retrospective study was designed using data from clinical records of 184 cases of adults who submitted with sudden death and underwent autopsy during a period of one year. We studied the demographic characteristics, season and location of death. Symptoms, smoking, alcohol and drug use, circumstances of death were also record. Coronary arteries findings in autopsy, heart weight, localization of myocardial infarction and the presence of an old myocardial infraction were record from autopsy report. Results: 92 patients (54 male, 38 female mean aged 64.8 years) met the inclusion criteria. In the majority of cases an acute myocardial infraction was certified during autopsy (92.4%). Grading severity of coronary arteri...

Circulation, 2018

We read with great interest an original research article on a possible obese phenotype of heart f... more We read with great interest an original research article on a possible obese phenotype of heart failure with preserved ejection fraction (HFpEF) by Obokata et al1 published recently in your journal, which provided extremely important data regarding the cardiovascular structure, function, exercise capacity, and reserve in subjects with obesity-related HFpEF compared with individuals …

Delirium is a common complication in hospitalised patients, however it is often misdiagnosed by h... more Delirium is a common complication in hospitalised patients, however it is often misdiagnosed by health care professionals. Failure to achieve a timely diagnosis results in poor outcomes, prolongation of patient hospitalization, increased costs of hospitalization, increased morbidity and mortality. Aim: To investigate the level of knowledge of nurses with regard to delirium and the care of hospitalized patients with delirium. Material Method: A cross-sectional questionnaire survey was carried out with a sample of 108 (N=108) nurses working in medical and surgical wards in two general hospitals of Athens and in three provincial hospitals. For the data collection, a 28 item questionnaire was developed, based on a preexisting research tool as well as on the relevant literature. The questionnaire additionally Το Βήμα του Ασκληπιού 11ος Τόμος, 1ο Τεύχος, Ιανουάριος – Μάρτιος 2012 Rostrum of Asclepius 11th Volume, 1st Issue, January – March 2012 www.vima-asklipiou.gr Copyright © 2012 Σελίδ...

Health science journal, 2012

Background: HIV and AIDS is a matter of concern because the number of cases has increased dramati... more Background: HIV and AIDS is a matter of concern because the number of cases has increased dramatically over the last ten years. Nursing students need to have appropriate knowledge and attitudes about HIV and AIDS because they are the future health care professionals, therefore will play a key role in prevention of spread and care of people with AIDS. The aim of the study was to explore the knowledge, behaviours and attitudes about HIV/AIDS of nursing students in Greece. Method and Material: A cross-sectional study was carried out in a nursing school of a Technological Educational Institute in Greece. A sample of 279 (N=279) nursing students agreed to participate in the study, giving a response rate of 77.5%. Data were collected using an anonymous questionnaire comprising four self-administered instruments: (a) the International AIDS questionnaire-Chinese Version (IAQ-C), (b) the source of HIV/AIDS information questionnaire, (c) Sexual behaviours/practices and attitudinal questions a...

Despite the fact that nursing research has been developed in Greece, nevertheless the provision o... more Despite the fact that nursing research has been developed in Greece, nevertheless the provision of nursing care is not based on current research findings, but rather on the knowledge gained by nurses during their undergraduate education. The transition of medicine in the last decade

Brazilian Journal of Science, May 13, 2024

Preterm children may experience major challenges that affect their occupational participation and... more Preterm children may experience major challenges that affect their occupational participation and daily functioning, especially at school age. This scoping review aims to examining and synthesizing the available literature about adverse neurodevelopmental outcomes and occupational participation restrictions of preterm children born < 37 weeks of gestation. The MEDLINE, Science Direct, CINAHL databases were searched from January 2013 to December 2023, for published cohort studies that assessed the neurodevelopmental outcomes and occupational participation of school-aged preterm children, compared to full-term born peers. Out of 6631 identified articles, 13 studies met the inclusion criteria and involved 958 preterm children, aged 6-10 years old. Studies included in the current scoping review reported adverse neurodevelopmental outcomes, such as cognitive impairment, executive function and sensory processing deficits, emotional and behavioral problems, language and visual perception difficulties, as well as occupational participation restrictions, like feeding difficulties, academic challenges and peer relationship problems. Findings suggest that neurodevelopmental deficits and occupational participation restrictions, especially in extremely preterm children, not only exist in early childhood but persist during school age. Future research should focus on exploring potential differences or patterns in neurodevelopmental outcomes and occupational participation between preterm groups with different gestational age ranges.

Background: Mental health nursing has been reported as a stressful speciality, with low job satis... more Background: Mental health nursing has been reported as a stressful speciality, with low job satisfaction. Method: An extensive literature search was performed aiming to identify and review research studies that investigate variables which influence stress and job satisfaction of nurses working in mental health settings. Results: This review shows that a variety of factors influence stress and job satisfaction of mental health nurses. Among these, clinical leadership and quality inter-professional collaboration between nurses and doctors and amongst nurses are particularly important. Nurses' job satisfaction was found to be influenced primarily by psychological stress and the quality of clinical leadership. Conclusions: The influence of the quality of collaboration amongst nurses and between nurses and doctors on nurses' job satisfaction is uncertain. A strong negative relationship was found between clinical leadership, inter-professional collaboration, stress and job satisfaction. Although a positive relationship between clinical leadership and nurses' job satisfaction was found, the association between clinical leadership and quality of inter-professional collaboration is unclear. The association between these variables and job satisfaction is positive but tenuous. In addition, a positive but weak relationship was revealed between the clinical leadership and the quality of relationships amongst nurses. Organisational issues, lack of nursing staff and patient care were found to be related to ward type mental health nurses' stress emerged as mediating variables between stress and job satisfaction. A hypothetical model of the relationships between these variables is presented for testing at a future study.