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  1. Article ; Online: Qualitative inquiry into the experience of suicide loss, aftereffects and coping strategies of suicide-bereaved Greek-speaking parents in Cyprus.

    Zavrou, Rafailia / Charalambous, Andreas / Papastavrou, Evridiki / Koutroubas, Anna / Karanikola, Maria

    International journal of qualitative studies on health and well-being

    2023  Volume 18, Issue 1, Page(s) 2265671

    Abstract: Purpose: Studies on suicide-bereaved parents are scarce in South European and Eastern Mediterranean countries. We explored the experiences of Greek-speaking suicide-bereaved parents in Cyprus, with emphasis on the interpretations of their child's ... ...

    Abstract Purpose: Studies on suicide-bereaved parents are scarce in South European and Eastern Mediterranean countries. We explored the experiences of Greek-speaking suicide-bereaved parents in Cyprus, with emphasis on the interpretations of their child's suicide, its aftereffects and their coping strategies.
    Methods: A qualitative methodology based on inductive content analysis of the interviews of ten mothers and two fathers was applied.
    Results: The participants described their efforts to make sense of the senseless, reporting numerous interpretations of their child's suicide. Some participants had achieved to move on by trying to keep the remaining family together. Others felt detached from their social network. The different coping strategies and support systems described, reflected participants' efforts to escape from obsessive, enduring and deeply traumatizing thoughts about their child's suicide. The analysis mirrored participants' ultimate desire to find existential relief and serenity through the management of distressing reminders of their child's suicide, and alleviate the burden of their own negative self-judgement and the criticism of others. They sought physical and emotional comfort in the inner realm of their psyche, through spiritual and psychological coping processes.
    Conclusion: Further exploration is suggested about intervention planning aiming to strengthen effective coping strategies and external supportive resources in mourning parents.
    MeSH term(s) Child ; Female ; Humans ; Cyprus ; Greece ; Parents/psychology ; Adaptation, Psychological ; Grief ; Bereavement ; Suicide/psychology
    Language English
    Publishing date 2023-10-07
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2232726-5
    ISSN 1748-2631 ; 1748-2623
    ISSN (online) 1748-2631
    ISSN 1748-2623
    DOI 10.1080/17482631.2023.2265671
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Qualitative inquiry into the experience of suicide loss, aftereffects and coping strategies of suicide-bereaved Greek-speaking parents in Cyprus

    Rafailia Zavrou / Andreas Charalambous / Evridiki Papastavrou / Anna Koutroubas / Maria Karanikola

    International Journal of Qualitative Studies on Health & Well-Being, Vol 18, Iss

    2023  Volume 1

    Abstract: Purpose Studies on suicide-bereaved parents are scarce in South European and Eastern Mediterranean countries. We explored the experiences of Greek-speaking suicide-bereaved parents in Cyprus, with emphasis on the interpretations of their child’s suicide, ...

    Abstract Purpose Studies on suicide-bereaved parents are scarce in South European and Eastern Mediterranean countries. We explored the experiences of Greek-speaking suicide-bereaved parents in Cyprus, with emphasis on the interpretations of their child’s suicide, its aftereffects and their coping strategies. Methods A qualitative methodology based on inductive content analysis of the interviews of ten mothers and two fathers was applied. Results The participants described their efforts to make sense of the senseless, reporting numerous interpretations of their child’s suicide. Some participants had achieved to move on by trying to keep the remaining family together. Others felt detached from their social network. The different coping strategies and support systems described, reflected participants’ efforts to escape from obsessive, enduring and deeply traumatizing thoughts about their child’s suicide. The analysis mirrored participants’ ultimate desire to find existential relief and serenity through the management of distressing reminders of their child’s suicide, and alleviate the burden of their own negative self-judgement and the criticism of others. They sought physical and emotional comfort in the inner realm of their psyche, through spiritual and psychological coping processes. Conclusion Further exploration is suggested about intervention planning aiming to strengthen effective coping strategies and external supportive resources in mourning parents.
    Keywords loss and grief ; child and adolescents ; coping ; qualitative ; suicide ; Medicine (General) ; R5-920
    Language English
    Publishing date 2023-12-01T00:00:00Z
    Publisher Taylor & Francis Group
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article ; Online: Trying to keep alive a non-traumatizing memory of the deceased: A meta-synthesis on the interpretation of loss in suicide-bereaved family members, their coping strategies and the effects on them.

    Zavrou, Rafailia / Charalambous, Andreas / Papastavrou, Evridiki / Koutrouba, Anna / Karanikola, Maria

    Journal of psychiatric and mental health nursing

    2022  Volume 30, Issue 2, Page(s) 182–207

    Abstract: WHAT IS KNOWN ON THE SUBJECT?: Losing a family member due to suicide has been described as a traumatic experience, as suicide-bereaved relatives grapple to accept the particular character of death and the core elements of guilt, self-criticism and stigma ...

    Abstract WHAT IS KNOWN ON THE SUBJECT?: Losing a family member due to suicide has been described as a traumatic experience, as suicide-bereaved relatives grapple to accept the particular character of death and the core elements of guilt, self-criticism and stigma it inflicts. There are long-term consequences for those who bereave due to the suicide of their beloved on, a high risk for mental and physical health problems included. Feelings of guilt and self-stigma influence help-seeking behaviour among suicide-bereaved individuals. WHAT THE PAPER ADDS TO EXISTING KNOWLEDGE?: Coping mechanisms adopted by suicide-bereaved individuals mediate the impact of suicide on their family, and especially on the quality of relationships among them. Supporting others in need can help alleviate guilt and self-blame for the suicide while it enables the bereaved to fulfil their need to keep a non-traumatizing, or even positive bond with the deceased. WHAT THE IMPLICATIONS FOR PRACTICE ARE?: Nursing interventions to facilitate suicide-bereaved family members' participation in self-help support groups and promote their engagement in supporting others in need are important. Mental health nurses need to facilitate the replacement of dysfunctional coping strategies, such as substance use or self-blame with more adaptive ones focused on the personal needs of the bereaved, in order to help them embrace a non-traumatizing memory of the deceased while being in peace with the social environment. Screening for mental health problems and management of shame, self-stigma and guilt during the grieving period needs to be a priority in nursing interventions.
    Abstract: INTRODUCTION: Losing a family member to suicide is a traumatic experience which includes guilt and self-stigma. Yet, there is lack of data synthesis on the survivors' experience.
    Aim: A meta-synthesis of qualitative data on the interpretation of loss in suicide-bereaved family members, their coping strategies and the effects on family.
    Method: A meta-ethnographic synthesis following a systematic literature search and evaluation of the methodological quality of the selected studies was applied.
    Results: The narratives of 326 individuals (parents/siblings/children/spouses) reported in sixteen studies were analysed. Trying to achieve a balance between keeping alive a non-traumatizing memory of the deceased, destigmatizing and liberating themselves from self-blame, self-criticism and guilt while being able to transform this experience into support towards others in need, was identified as the essence of the experience of the bereaved.
    Discussion: Although suicide within a family is a traumatic experience, spiritual and existential implications among the bereaved have been reported; their coping mechanisms mediate the impact of suicide on family sustainability.
    Implications for practice: Nursing interventions to facilitate adoption of coping strategies centred on keeping a non-traumatizing memory of the deceased among the bereaved and promote their participation in self-help groups and activities to support others in need are important.
    MeSH term(s) Child ; Humans ; Adaptation, Psychological ; Bereavement ; Family/psychology ; Grief ; Suicide/psychology ; Memory ; Guilt ; Social Stigma ; Self-Assessment ; Self-Help Groups ; Social Support ; Psychiatric Nursing/methods
    Language English
    Publishing date 2022-09-03
    Publishing country England
    Document type Journal Article ; Meta-Analysis ; Review ; Systematic Review
    ZDB-ID 1328479-4
    ISSN 1365-2850 ; 1351-0126
    ISSN (online) 1365-2850
    ISSN 1351-0126
    DOI 10.1111/jpm.12866
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Correction: Combined Use of Web-Based and In-Person Education on Ill Health Self-management Skills in Adults With Bipolar Disorder: Protocol for a Mixed Methods Study.

    Hatzioannou, Anna / Chatzittofis, Andreas / Koutroubas, Virginia Sunday / Papastavrou, Evridiki / Karanikola, Maria

    JMIR research protocols

    2021  Volume 10, Issue 9, Page(s) e33506

    Abstract: This corrects the article DOI: 10.2196/25168.]. ...

    Abstract [This corrects the article DOI: 10.2196/25168.].
    Language English
    Publishing date 2021-09-15
    Publishing country Canada
    Document type Published Erratum
    ZDB-ID 2719222-2
    ISSN 1929-0748
    ISSN 1929-0748
    DOI 10.2196/33506
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Missed Nursing Care Among Patients With Dementia During Hospitalization: An Observation Study.

    Evripidou, Melina / Merkouris, Anastasios / Charalambous, Andreas / Karanikola, Maria / Zavrou, Rafailia / Papastavrou, Evridiki

    Research in gerontological nursing

    2021  Volume 14, Issue 3, Page(s) 150–159

    Abstract: Patients with dementia (PwD) are characterized as a vulnerable group as they are unable to communicate their needs, putting them at risk for care omissions. The current study aimed to explore care toward PwD and detect if any aspects of care are omitted. ...

    Abstract Patients with dementia (PwD) are characterized as a vulnerable group as they are unable to communicate their needs, putting them at risk for care omissions. The current study aimed to explore care toward PwD and detect if any aspects of care are omitted. An observation study was conducted in three medical-surgical adult wards of an acute general hospital. Data were collected by an observer, through field notes, and were analyzed with content analysis. A face scale was used to assess PwD's mood. Thirteen PwD were observed for 90 hours. Four thematic areas were identified: (a) Unmet Fundamental Patient Needs, (b) Human Right to Dignity and Respect, (c) Communication Deficiencies, and (d) Implementation of Nursing Interventions. Nurse-patient contact lasted from 5 to 7 minutes and numerous care omissions were noted. The face scale assessment revealed that most PwD looked very sad after nursing care. This study enriches insight for the care of PwD during hospitalization and emphasizes the need for health care workers' education and support. [
    MeSH term(s) Communication ; Dementia ; Hospitalization ; Humans ; Nurse-Patient Relations ; Nursing Care
    Language English
    Publishing date 2021-05-01
    Publishing country United States
    Document type Journal Article ; Observational Study
    ZDB-ID 2555277-6
    ISSN 1938-2464 ; 1940-4921
    ISSN (online) 1938-2464
    ISSN 1940-4921
    DOI 10.3928/19404921-20210326-01
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Combined Use of Web-Based and In-Person Education on Ill Health Self-management Skills in Adults With Bipolar Disorder: Protocol for a Mixed Methods Study.

    Hatzioannou, Anna / Chatzittofis, Andreas / Koutroubas, Virginia Sunday / Papastavrou, Evridiki / Karanikola, Maria

    JMIR research protocols

    2021  Volume 10, Issue 9, Page(s) e25168

    Abstract: Background: Addressing the enhancement of ill health self-management skills in adults diagnosed with bipolar disorder may be considered an important intervention for health care systems worldwide.: Objective: This protocol describes the study " ... ...

    Abstract Background: Addressing the enhancement of ill health self-management skills in adults diagnosed with bipolar disorder may be considered an important intervention for health care systems worldwide.
    Objective: This protocol describes the study "Management of my Bipolarity" (MoB), which aims to develop an educational intervention for adults with bipolar disorder and assess its effectiveness. The objectives include (a) a literature review on bipolar disorder educational interventions; (b) a qualitative exploration of the educational needs of people with bipolar disorder; (c) development of an educational intervention based on objectives (a) and (b) (ie, the MoB educational intervention); and (d) exploration of the effectiveness of the intervention regarding participants' knowledge of their mental health condition and enhancement of their ill health self-management skills. The MoB educational intervention will consist of an in-person and a web-based intervention in the form of a digital platform.
    Methods: The proposed interventional study is a combination of a qualitative and a quantitative design (mixed methods study). A focus group and content analysis will be implemented for the qualitative assessment of the educational needs of adults with bipolar disorder. The intervention will be developed based on the qualitative data of the study and relevant literature. The effectiveness of the acquired knowledge and self-management skills will be assessed according to (a) substance use behavior, (b) health locus of control, (c) impulse control, (d) adherence to pharmacotherapy, (e) relapse prevention, (f) improvement of quality of life, and (g) bipolar disorder knowledge level via structured instruments in the quantitative part of the study using descriptive and inferential statistics (SPSS version 24.0).
    Results: A total of 13 patients with bipolar disorder have been interviewed (8 women, 5 men) to identify educational needs to be covered through the intervention. Moreover, a literature review on bipolar disorder educational interventions has been completed. These data have been incorporated in the design of the MoB in-person intervention and the digital platform. The digital platform is live, and the development of the MoB in-person intervention was completed at the end of 2020. The recruitment of the participants for the intervention (40 patients) and the control group (40 patients) began during the first semester of 2021. Moreover, by tracking the platform for 1.5 years, we have recorded that 2180 users have visited the platform with an average session duration of almost 2 minutes. Mobile and tablet devices are being used by 70% of the visitors.
    Conclusions: Since new parameters regarding educational interventions will be explored, these findings are expected to provide evidence that participation in structured educational interventions offers patients the opportunity to improve adherence to pharmacotherapy and increase their quality of life.
    Trial registration: ClinicalTrials.gov NCT04643210; https://clinicaltrials.gov/ct2/show/NCT04643210.
    International registered report identifier (irrid): DERR1-10.2196/25168.
    Language English
    Publishing date 2021-09-08
    Publishing country Canada
    Document type Journal Article
    ZDB-ID 2719222-2
    ISSN 1929-0748
    ISSN 1929-0748
    DOI 10.2196/25168
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Enhancing health and eHealth literacy among nurses working with older people during COVID-19 pandemic

    Areti Efthymiou / Melina Evripidou / Maria Karanikola / Joanna Menikou / Theologia Tsitsi / Georgios Efstathiou / Renáta Zeleníková / Jakub Doležel / Daria Modrezejewska / Venetia Sofia Velonaki / Athina Kalokairinou / Evridiki Papastavrou

    Computer Methods and Programs in Biomedicine Update, Vol 4, Iss , Pp 100130- (2023)

    A multi-center e-Delphi study in five countries

    2023  

    Abstract: Background: Nurses’ health literacy (HL) and ehealth literacy (eHL) knowledge and skills are crucial for patient care. There is evidence that skills and knowledge on how HL and eHL can facilitate the provision of care, is low among nurses. Especially in ... ...

    Abstract Background: Nurses’ health literacy (HL) and ehealth literacy (eHL) knowledge and skills are crucial for patient care. There is evidence that skills and knowledge on how HL and eHL can facilitate the provision of care, is low among nurses. Especially in the care of older adults with an increased risk of falls and infections, or poor adherence to pharmacotherapy, nurses could increase patient safety by assessing and supporting older people’ HL and eHL. This study aims to present the findings of an e-Delphi survey, which was implemented within the framework of the development of a course focusing on the enhancement of HL and eHL assessment and intervention competencies for nurses. Method: A modified e-Delphi study was conducted in five countries from September 2020 to January 2021. Initially, a 19-item questionnaire on HL and eHL skills and competencies was developed by the research team based on literature review. Twenty experts from five countries (Cyprus, Czech Republic, Greece, Lithuania, Poland) participated in two e-Delphi rounds. The research team met to reach consensus on the final version of the modules. Results: Four modules were derived from the Delphi survey: 1) Introduction to HL and eHL 2) Communication skills in practice 3) eHealth challenges: Feasibility and readability issues, and 4) HL/eHL and patient safety. Conclusions: Raising awareness on HL and eHL skills in nurses and nursing students is considered a priority, especially during the COVID-19 era. The common effort among five academic institutions to develop an HL and eHL course targeting nurses and nursing students is considered an important step towards this direction.
    Keywords eHealth ; eLearning ; Continuous education ; Nurses ; Older adults ; Digital competencies ; Computer applications to medicine. Medical informatics ; R858-859.7
    Subject code 302 ; 650
    Language English
    Publishing date 2023-01-01T00:00:00Z
    Publisher Elsevier
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  8. Article ; Online: Regarding "extent of COPD is associated with short and long-term adverse outcomes in patients undergoing elective AAA repair".

    Filis, Konstantinos / Karanikola, Evridiki / Panaretou, Venetiana

    Journal of vascular surgery

    2013  Volume 58, Issue 2, Page(s) 569

    MeSH term(s) Aortic Aneurysm, Abdominal/complications ; Aortic Aneurysm, Abdominal/surgery ; Humans ; Oxygen Inhalation Therapy ; Pulmonary Disease, Chronic Obstructive/complications ; Pulmonary Disease, Chronic Obstructive/therapy ; Risk Assessment ; Treatment Outcome
    Language English
    Publishing date 2013-08
    Publishing country United States
    Document type Letter
    ZDB-ID 605700-7
    ISSN 1097-6809 ; 0741-5214
    ISSN (online) 1097-6809
    ISSN 0741-5214
    DOI 10.1016/j.jvs.2013.03.051
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Investigation into the metric properties of the workplace social capital questionnaire and its association with self-rated health and psychological distress amongst Greek-Cypriot registered nurses: cross-sectional descriptive study.

    Middleton, Nicos / Andreou, Panayiota / Karanikola, Maria / Kouta, Christiana / Kolokotroni, Ourania / Papastavrou, Evridiki

    BMC public health

    2018  Volume 18, Issue 1, Page(s) 1061

    Abstract: Background: Social capital can been described as an individual or a collective attribute, with structural and cognitive components, and a bonding, bridging and linking typology. While extensively studied in the community, studies in occupational ... ...

    Abstract Background: Social capital can been described as an individual or a collective attribute, with structural and cognitive components, and a bonding, bridging and linking typology. While extensively studied in the community, studies in occupational settings are sparse by comparison. Furthermore, there is no uniformity in its measurement. This study investigated the construct validity of a Workplace Social Capital questionnaire (WSC), originally developed in the Finnish Public Sector occupational cohort, in a different socio-cultural setting (Cyprus), language (Greek) and occupational group (Registered Nurses). It also explored its criterion concurrent validity according to observed association with self-rated health and psychological distress.
    Methods: Participants were 10% of all registered nurses (N = 362) who responded to the 8-item WSC scale during a nationwide educational programme. A unidimensional model was compared with the postulated two-factor (structural vs cognitive) and three-factor model (bonding, bridging, linking) in Confirmatory Factor Analyses. The association with self-rated health (0-100 Visual Analogue Scale) and mental distress (GHQ-12 ≥ 4) was assessed in linear and logistic regression models.
    Results: A bonding (Cronbach's a = 0.76), bridging (a = 0.78) and linking (a = 0.89) structure explained 77.6% of the variance and was a better fit as indicated by goodness of fit indices. Elevated odds of mental distress and poorer self-rated health were observed among participants with the lowest levels of perceived workplace social capital. In adjusted models, associations appeared stronger with bonding social capital (adjOR of mental distress = 2.71 95% CI = 1.08, 6.79) while those with the highest scores rated their health higher by 8.0 points on average (95% CI = 2.1, 13.8). Low linking social capital was also associated with poorer health but no consistent associations were observed with bridging.
    Conclusion: While associations appeared stronger with bonding and linking, this may reflect a weakness of the measure to fully capture bridging social capital. Even though, this aspect might need strengthening, the WSC showed good metric properties in a different setting, language and occupational group. Cross-national and cognitive validation studies are needed.
    MeSH term(s) Adult ; Cross-Sectional Studies ; Cyprus/epidemiology ; Diagnostic Self Evaluation ; Female ; Greece/epidemiology ; Humans ; Interprofessional Relations ; Male ; Middle Aged ; Nurses/psychology ; Nurses/statistics & numerical data ; Object Attachment ; Reproducibility of Results ; Social Capital ; Stress, Psychological/epidemiology ; Surveys and Questionnaires ; Workplace/psychology
    Language English
    Publishing date 2018-08-23
    Publishing country England
    Document type Journal Article
    ISSN 1471-2458
    ISSN (online) 1471-2458
    DOI 10.1186/s12889-018-5959-7
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: Endovascular Management of Atherosclerotic Renal Artery Stenosis: Post-Cardiovascular Outcomes in Renal Atherosclerotic Lesions Era Winner or False Alarm?

    Karanikola, Evridiki / Karaolanis, Georgios / Galyfos, George / Barbaressos, Emmanuel / Palla, Viktoria / Filis, Konstantinos

    Vascular specialist international

    2017  Volume 33, Issue 1, Page(s) 1–15

    Abstract: Renal artery stenosis (RAS) is frequently associated with severe comorbidities such as reduced renal perfusion, hypertension, and end-stage renal failure. In approximately 90% of patients, renal artery atherosclerosis is the main cause for RAS, and it is ...

    Abstract Renal artery stenosis (RAS) is frequently associated with severe comorbidities such as reduced renal perfusion, hypertension, and end-stage renal failure. In approximately 90% of patients, renal artery atherosclerosis is the main cause for RAS, and it is associated with an increased risk for fatal and non-fatal cardiovascular and renal complications. Endovascular management of atherosclerotic RAS (ARAS) has been recently evaluated by several randomized controlled trials that failed to demonstrate benefit of stenting. Furthermore, the Cardiovascular Outcomes in Renal Atherosclerotic Lesions study did not demonstrate any benefit over the revascularization approach. In this review, we summarized the available data from retrospective, prospective and randomized trials on ARAS to provide clinicians with sufficient data in order to produce useful conclusions for everyday clinical practice.
    Language English
    Publishing date 2017-03-31
    Publishing country Korea (South)
    Document type Journal Article ; Review
    ISSN 2288-7970
    ISSN 2288-7970
    DOI 10.5758/vsi.2017.33.1.1
    Database MEDical Literature Analysis and Retrieval System OnLINE

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