Prof. Annamaria Pakai

Scopus Publications

Educational intervention effects on nurses’ knowledge, attitudes, and practice toward handling cytotoxic drugs in their workplace
Marwa Saker, Alaa Dayekh, Zahraa Alrayshouni, Ahmad El-Tassi, Annamária Pakai
BMC Nursing, 2026
Cytotoxic drug (CD) hazard is a significant concern in healthcare provision, affecting nurses through various exposure means. It is important to limit the risks of exposure by enhancing nurses’ knowledge of CD and improving compliance with evidence-based practices. This study aimed to assess the knowledge, practice, and attitude of nurses working in an oncology specialty hospital by implementing an educational program. This is a pre-post test quasi-experimental study design without a control group. We utilized a simple random sampling approach to select 160 nurses. The research team compared the results before and after the intervention. Most of the nurses acquired their knowledge on the use of antineoplastic agents through organizational mandatory training programs. While knowledge improved significantly post-intervention ( p = 0.002), changes in self-reported practice ( p = 0.11) and attitude ( p = 0.22) were not statistically significant. This suggests that a single educational session is sufficient to improve knowledge but insufficient to change behavior or attitudes in the short term. All three knowledge, practice, and attitude scores were positively and significantly correlated with years of work experience and the age of nurses. Both academic education and training programs have a significant impact on the knowledge and behavior of nurses. Nurses demonstrated greater awareness after the education intervention. Nursing continuous education and safety professionals are advised to adopt such educational interventions within a holistic organizational behavioral change program to impact long-term nurses’ behavior.
Trends of ischaemic and haemorrhagic stroke hospitalizations in Hungary between 2010 and 2023: a nationwide, retrospective analysis of real-world data
Tímea Csákvári, Zsófia Verzár, Csaba Bálint, Diána Elmer, László Horváth, Annamária Pakai
BMC Health Services Research, 2026
Adequate capacity planning of healthcare systems, ensuring effective and accessible care is key. Our aim was to examine the trends of ischaemic and haemorrhagic stroke-related hospitalizations in Hungary. We conducted a nationwide retrospective analysis between 2010 and 2023. Data was provided by the Hungarian Central Statistical Office and the Pulvita Healthcare Data Warehouse. Crude patient and case numbers, number of inpatient care days, the mean length of (hospital) stay, hospital mortality rate, as well as crude and age-standardized hospitalization rate per 100,000 population were calculated for both men and women, and for both ischaemic stroke (IS) and haemorrhagic stroke (HS). In 2010, there were 224,379 cases of stroke in Hungary (94.31% IS, 5.69% HS), while in 2023 the number decreased to 152,649 cases (92.32% IS, 7.68% HS). The age-standardized hospitalization rate was 2644.97 per 100,000 people in 2010 and decreased to 1663.58 per 100,000 people by 2023. The mean length of hospital stay also decreased from 9.89 days to 8.89 days. HS mortality showed improvement in all age groups, especially among young children (0–4 years: -22.42%, 5–18 years: -10.36%). August consistently has a lower admission rate, while October and March show peaks. In terms of in-hospital mortality, the maximum rates are observed from January to March (10.74%, 10.07%, and 9.58%, respectively), as well as in December (8.84%), while June records the lowest mortality (7.95%). We draw attention to the importance of optimizing resources, especially considering our findings regarding seasonality. This underscores the necessity for more efficient allocation of capacities, equipment, and human resources. Not applicable.
Coping Strategies as Predictors of Parental Burnout Among Mothers: Evidence from a Hungarian Sample
Patrik M. Bogdán, Katalin Varga, Szandra Katona, Kristóf Gróf, Annamária Pakai
Social Sciences, 2026
Background: Parental burnout is a form of psychological exhaustion resulting from prolonged parental stress. It is characterized by emotional distancing from one’s children, emotional fatigue, a sense of being overwhelmed, and feelings of failure in the parental role. The aim of our study was to explore the relationships between coping styles, sociodemographic variables, and parental burnout in a Hungarian sample. Methods: A cross-sectional online survey was conducted with 221 parents raising children up to the age of ten. The instruments included the Parental Burnout Assessment (PBA) and the Ways of Coping Questionnaire (WCQ). Results: Our findings indicate that support-seeking coping was associated with lower levels of burnout, whereas emotion-focused coping and poorer self-rated health were related to higher burnout scores (p < 0.05). Postpartum depressive symptoms showed a strong association with emotional exhaustion and parental contrast, suggesting shared psychological mechanisms underlying these phenomena (p < 0.05). Sociodemographic factors were not found to be significant predictors (p > 0.05). Conclusions: Based on our results, parental burnout appears to be primarily psychological in nature, and the development of emotional resilience—particularly through mindfulness-based and cognitive-behavioral interventions—may play a key role in its prevention and treatment.
The Arabic Control Attitudes Scale-Revised: Method Effect (Negatively Worded Items) and Measurement Invariance as Threats to Its Construct Validity Are Remedied in a 5-Item Version With Improved Performance
Amira Mohammed Ali, Saeed A. Al-Dossary, Maryam Alharrasi, Carlos Laranjeira, Ahmad Ayed, Heba Emad El-Gazar, Mohamed Ali Zoromba, Amal Diab Ghanem Atalla, Rasmieh Alamer, Khalood Al-Abri, Maha Subih, Annamaria Pakai
Journal of Cardiovascular Nursing, 2026
Background: The Control Attitudes Scale-Revised (CAS-R) is widely used to explore cardiac patients’ beliefs about their ability to manage illness. The CAS-R’s construct validity may be questionable in different cultural contexts. Conclusions/applications based on inaccurate construct validity can be misleading and incorrect. Objective: In this study, we aimed to evaluate the psychometric properties of the Arabic version of the CAS-R. Methods: Within a cross-sectional design involving 180 Omani patients with heart failure (mean age = 70.3 ± 9.8 years, 51.7% females), exploratory/confirmatory factor analysis (CFA) and multigroup CFA were used to evaluate the construct validity and measurement invariance of the CAS-R across gender and marital groups. Results: In exploratory factor analysis, 2 factors with eigenvalues >1 explained 37.9% of the variance. Despite the poor fit of the unidimensional CAS-R, CFA revealed an excellent fit of a 2-factor structure. Negative (5 and 8) and cross-loading items (1) contributed to scale variance at the configural level. Eliminating negative items and item 6 improved model fit, reliability (Cronbach’s α = 0.66 vs. 0.56), and invariance at all levels. In support of its convergent and criterion validity, the CAS-R 5 correlated with the CAS-R and depression ( r = 0.953, −0.268; P values <.01). Conclusions: Negative items comprised a minor weak factor (helplessness) that was not stable across groups. Eliminating items 5, 6, and 8 resulted in a clean invariant short form (CAS-R 5) with superior properties that may implicate nursing decisions and interventions concerning perceived control.
The Arabic Generalized Anxiety Disorder 2 (GAD-2): Psychometric evaluation among mothers of children with intellectual disabilities
Amira Mohammed Ali, Saeed A. Al-Dossary, Feten Fekih-Romdhane, Carlos Laranjeira, Haitham Khatatbeh, Heba Emad El-Gazar, Ahmad Ayed, Abdulmajeed A. Alkhamees, Musheer A. Aljaberi, Rasmieh Alamer, Annamaria Pakai, Mohamed Ali Zoromba
Dialogues in Clinical Neuroscience, 2026
INTRODUCTION: Disruptive behaviours of children with intellectual disabilities predispose mothers to mental and physical morbidities, leading to caregiving burnout, lower childcare quality, and poor child progress. METHODS: This cross-sectional study investigated the psychometrics of the Arabic version of the Generalised Anxiety Disorder 2-item scale (GAD-2) among 85 Saudi mothers of children with intellectual disabilities through latent variable model and receiver-operating characteristic curve analyses. RESULTS: The unidimensional GAD-2 demonstrated good construct validity, invariance at the configural, metric, and scalar levels across age groups, and adequate convergent/divergent validity-It was negatively predicted by high mood and happiness and positively predicted by stress, and it mediated the effect of stress and happiness on depression. Its known-group validity was determined by elevated anxiety levels among mothers using psychotropic drugs. Two cut-offs (≥2.5 and ≥3.5) flagged the best trade-off between sensitivity and specificity for predicting low mood, poor sleep quality, nightmares, high stress, low general physical health, and willingness to join a psychological support program. The positive predictive value for the cut-off ≥3.5 was higher for all outcomes than that of the cut-off ≥2.5. DISCUSSION: The GAD-2 is a valid and reliable tool, which at thresholds ≥3.5 can identify anxious mothers, aiding early diagnosis and intervention.
Reliability and Validity of the Arabic Translation of the Public and Patient Engagement Evaluation Tool
Alaa Dayekh, Zahraa Raychouni, Bence Raposa, Annamária Pakai
Health Expectations, 2025
Introduction Without reliable evaluation tools, ensuring the quality of patient engagement is difficult. The Public and Patient Engagement Evaluation Tool (PPEET) was designed to assess and improve excellence in patient and public engagement (PPE) initiatives across various health system organisations. Since language significantly affects the psychometric properties of research instruments, validated versions of these instruments are crucial. Methods This study represents the initial phase of exploratory research and marks the first effort to validate the Arabic translation of the PPEET and to track its impact on the healthcare systems of Lebanon and other Arabic‐speaking countries. This is a mixed‐methods qualitative and quantitative cross‐sectional validity and reliability study. The validity was tested by interviewing 10 bilingual healthcare experts. The internal consistency reliability was measured with Cronbach's α and correlation coefficient analysis ( N = 60). Results Healthcare experts, who were consulted for the face validity of the translated PPEET, had an average age of (34.7 ± 7.9) years with a mean years of work experience of (8.9 ± 6.9). The average clarity percentage for all translated surveys was 96.42%. Cronbach's α coefficients for Participants' Questionnaire Module A, Participants' Questionnaire Module B, Project and Organisation Questionnaire were 0.79, 0.89, 0.95 and 0.89, respectively. Conclusion This study demonstrates that the Arabic version of the PPEET is a valid and reliable tool. A large‐scale sample would be beneficial for further analysis. Patient or Public Contribution In this study, patient partners were incorporated into the research team as research contributors in the design and implementation of the methodology, not only as consenting participants.
Beyond the screen: a social cognitive theory perspective on gender, online gaming, and social well-being in Jordan
Haitham Khatatbeh, Yahya Khatatbeh, Annamaria Pakai, Moawiah Khatatbeh
Italian Journal of Pediatrics, 2025
BACKGROUND: The global expansion of online gaming raises worries about its impact on adolescent well-being, particularly regarding Internet Gaming Disorder (IGD) and its association with social health and bullying. This study addresses a research gap in the Middle East by exploring gender-specific trends in gaming habits, social perceptions, and the prevalence of IGD among adolescents in Jordan. Utilizing the Social Cognitive Theory (SCT), the study aimed to identify predictors of IGD and exposure to social bullying. METHODS: 403 adolescents (aged 10-17) were selected from the northern Jordan in this cross-sectional, survey-based study. Participants responded to the Arabic version of the IGD-20 scale, in addition to items about their gaming habits, social perceptions, and exposure to social bullying. Furthermore, was used to measure IGD. Linear regression models were employed to identify factors predicting IGD scores and exposure to social bullying. RESULTS: 52.9% of the participants were at risk for or had IGD. Significant gender differences were found, with males spending more time gaming (p = 0.012) and preferring competitive games, while females favored "Fashion/dress" games. Key predictors of higher IGD scores were daily gaming hours, a perception of gaming as harmful, and poor social relationships. A higher IGD score also predicted increased exposure to social bullying. Crucially, gender did not significantly predict IGD or social bullying in the final models. CONCLUSION: Our findings, guided by SCT, suggest that gaming habits are often gender-specific, however, the core risk factors for IGD are not. Developing IGD is more closely tied to excessive gaming, poor social relationships, and exposure to bullying. So, effective measures should promote healthy gaming habits and foster strong social support systems for all adolescents, rather than exclusively targeting a specific gender. No Patient or Public Contribution. CLINICAL TRIAL NUMBER: Not applicable.
Nutritional Management of Liver Failure in the Intensive Care Unit
Zsófia Verzár, Rudolf Kiss, Csaba Pál Bálint, Annamária Pakai, Tímea Csákvári
Medicina Lithuania, 2025
Liver failure, both acute and chronic, represents a complex, life-threatening condition frequently requiring intensive care unit (ICU) admission. Nutritional management is a crucial component of supportive therapy, aiming to mitigate catabolism, preserve lean body mass, and support immune and organ function. In acute liver failure (ALF), early nutritional intervention within 24–48 h and individualized energy–protein prescriptions are essential, even in the presence of hepatic encephalopathy. Chronic liver failure (CLF) and acute-on-chronic liver failure (ACLF) are often associated with severe malnutrition, sarcopenia, and systemic inflammation, necessitating tailored nutritional strategies. Subjective Global Assessment (SGA) and Royal Free Hospital Global Assessment (RFH-GA) tools are instrumental in identifying nutritional risk. Enteral nutrition (EN) is preferred across all stages, with parenteral nutrition (PN) reserved for contraindications. Special considerations include micronutrient repletion, prevention of refeeding syndrome, and perioperative nutritional support in transplant candidates and recipients. This clinical overview summarizes current evidence and guidelines on ICU nutrition in liver failure, emphasizing a multidisciplinary approach to improve outcomes.
Parental Burnout: A Progressive Condition Potentially Compromising Family Well-Being—A Narrative Review
Patrik M. Bogdán, Katalin Varga, Lívia Tóth, Kristóf Gróf, Annamária Pakai
Healthcare Switzerland, 2025
Background: Parental burnout is one of today’s significant challenges, increasingly manifesting as a problem in our fast-paced world. The aim of this review is to create an exploratory, descriptive summary of parental burnout through the analysis of available international publications, providing a clearer and more accurate understanding of the psychological condition, severity, manifestations, and treatment options. Methods: Our narrative literature review includes publications from 2010 onwards, focusing on those that directly address the topic of parental burnout syndrome and contain epidemiological data, risk factors, symptoms, diagnostic possibilities, and treatment strategies. We excluded publications that examined the condition within narrow societal groups, such as parents caring for children with somatic mental disorders. Results: Based on our review, it appears that parental burnout may potentially affect both women and men. Factors such as low emotional intelligence, workplace stress, and lack of supportive family background render parents vulnerable to this condition. Significant differences in the prevalence of parental burnout can be measured between countries, due to cultural differences. Parental burnout has extremely detrimental effects on family dynamics and the emotional development of children, and it can negatively impact the willingness to have more children at the family level, which has dire consequences considering the low birth rates characteristic of European countries.
Psychometric evaluation of the Arabic version of the Eight-item Center for Epidemiological Studies Depression Scale (CESD-8): Specific cultural considerations for the assessment of depression
Amira M. Ali, Saeed A. Al-Dossary, Feten Fekih-Romdhane, Rana Ali Alameri, Carlos Laranjeira, Haitham Khatatbeh, Mohamed Ali Zoromba, Abdulmajeed A. Alkhamees, Musheer A. Aljaberi, Annamaria Pakai, Heba Emad El-Gazar
International Journal of Nursing Studies Advances, 2025
Background: Despite extensive evaluations of the Center for Epidemiological Studies Depression Scale (CESD), its shortest version, the Eight-Item version (CESD-8), is less investigated, with absolute lack of information on its psychometric properties in the Arab world. Methods: 314), were analyzed through exploratory factor analysis, confirmatory factor analysis, and multigroup analysis to examine the structure and measurement invariance of the CESD-8. Convergent validity and internal consistency tests involved correlating the CESD-8 with its subscales, item analysis measures, and intra class correlations. Criterion validity tests involved correlating the CESD-8 and its subscales with a single-item measure of happiness. Results: Exploratory factor analysis produced two factors (negative affect and positive affect) with eigen values >1, which explained 86.4 % of the variance. In confirmatory factor analysis, the crude exploratory factor analysis model had good fit while the fit of the unidimensional CESD-8 and another two-factor structure (depressed affect and somatic complaints) was improved by correlating the residuals of the items of positive affect (CESD4 and CESD6). A three-factor model (depressed affect, somatic complaints, and positive affect) expressed the best fit in the absence of error correlations. This model was invariant across groups of students and employees, gender, and age. The scale and its three dimensions demonstrated adequate internal consistency (alpha coefficient range = 0.65-0.89), convergent validity (item total correlation range = 0.43-0.80 and range of correlations with the CESD-8 = -0.68-0.92), and criterion validity (range of correlations with happiness scores = -0.40-0.60). Conclusions: The CESD-8 is a valid short scale for quick identification of people with depressive psychopathologies. Using the CESD-8 to detect heterogenous depressive symptoms, rather than assessing depression as a whole condition, may influence our understanding of the dynamics and treatments of depression in specific groups/cultures, with emphasis on absence of positive affect in the definition of depression among Arabs. Replications of the three-factor structure in different cultures are needed.
Trends and Shifts in Swedish Telemedicine Consultations During the Pre–COVID-19, COVID-19, and Post–COVID-19 Periods: Retrospective Observational Study
Adaora Uloma Asomugha, Annamaria Pakai
Jmir Formative Research, 2025
Loneliness among dementia caregivers: evaluation of the psychometric properties and cutoff score of the Three-item UCLA Loneliness Scale
Amira Mohammed Ali, Saeed A. Al-Dossary, Carlos Laranjeira, Abeer Selim, Souheil Hallit, Abdulmajeed A. Alkhamees, Aljawharah Fahad Aljubilah, Musheer A. Aljaberi, Ebtesam Abdullah Alzeiby, Annamaria Pakai, Haitham Khatatbeh
Frontiers in Psychiatry, 2025
The Arabic Version of the Patient Health Questionnaire-2 (PHQ-2): Psychometric Evaluation Among Mothers of Children With Intellectual Disabilities
Amira Mohammed Ali, Saeed A. Al-Dossary, Musheer A. Aljaberi, Heba Emad El-Gazar, Carlos Laranjeira, Haitham Khatatbeh, Mohamed Ali Zoromba, Rasmieh Alamer, Faten Amer, Annamaria Pakai, Feten Fekih-Romdhane
Nursing Research and Practice, 2025
Impact of different obstetric interventions and types of delivery on breastfeeding: a nationwide cross-sectional survey of Hungarian women
Anita Hulman, Annamária Pakai, Tímea Csákvári, Katalin Varga
BMC Pregnancy and Childbirth, 2024
Mothers' experiences of breastfeeding support by health visitors in Hungary
Andrea Szabó, Ilona Karácsony, Mónika Ferenczy, Annamária Pakai
Orvosi Hetilap, 2024
PREVALENCE AND DIETARY TREATMENT OF THE MOST COMMON DISEASES AND GASTROINTESTINAL SYMPTOMS IN PREGNANCY
Anita Hulman, Katalin Varga, Viola Keczeli, Annamária Pakai
Lege Artis Medicinae, 2024
The Impact of Meteorological Factors on Stroke Incidence in the Transdanubian Region of Hungary
László Horváth, Zsófia Verzár, Tímea Csákvári, László Szapáry, Péter Domján, Csaba Bálint, Haitham Khatatbeh, Amira Mohammed Ali, Annamária Pakai
Climate, 2024
Cardiometabolic Morbidity (Obesity and Hypertension) in PTSD: A Preliminary Investigation of the Validity of Two Structures of the Impact of Event Scale-Revised
Amira Mohammed Ali, Saeed A. Al-Dossary, Carlos Laranjeira, Maha Atout, Haitham Khatatbeh, Abeer Selim, Abdulmajeed A. Alkhamees, Musheer A. Aljaberi, Annamária Pakai, Tariq Al-Dwaikat
Journal of Clinical Medicine, 2024
Work Motivation: A Wall That Not Even the COVID-19 Pandemic Could Knock Down: Research Article
Patrik M. Bogdán, Miklós Zrínyi, Ildikó Madarász, Lívia Tóth, Annamária Pakai
Healthcare Switzerland, 2024
Effects of Hormonal Replacement Therapy and Mindfulness-Based Stress Reduction on Climacteric Symptoms Following Risk-Reducing Salpingo-Oophorectomy
Amira Mohammed Ali, Saeed A. Al-Dossary, Carlos Laranjeira, Faten Amer, Souheil Hallit, Abdulmajeed A. Alkhamees, Aljawharah Fahad Aljubilah, Musheer A. Aljaberi, Ebtesam Abdullah Alzeiby, Hammad Ali Fadlalmola, Annamaria Pakai, Haitham Khatatbeh
Healthcare Switzerland, 2024
Rationalizing the Influence of Co-Design on Distress, Clinical Decision-Making and Disease Self-Management of Cancer Patients-as-Partners: A Quasi-Experimental Study
Zahraa Alrayshouni, Alaa Dayekh, Ahmad El‐Tassi, Annamária Pakai
Health Expectations, 2024
Assessing the Implementation of the Baby-Friendly Hospital Initiative in Hungary: A Cross-Sectional Study
Anita Hulman, Katalin Varga, Tímea Csákvári, Annamária Pakai
Children, 2024
The Impact of Mode of Delivery and Postpartum Conditions on Breastfeeding: A Cross-Sectional Study
Anita Hulman, Annamária Pakai, Tímea Csákvári, Viola Keczeli, Katalin Varga
Healthcare Switzerland, 2024
Paediatric nurses' burnout, quality of life and perceived patient adverse events during the COVID-19 pandemic: Testing an integrated model using structural equation modelling
Haitham Khatatbeh, Tariq Al‐Dwaikat, Jehad Rababah, András Oláh, Annamária Pakai
Journal of Clinical Nursing, 2024
Cut-off scores of the Depression Anxiety Stress Scale-8: Implications for improving the management of chronic pain
Amira Mohammed Ali, Rana Ali Alameri, Tiffany Brooks, Tazeen Saeed Ali, Nashwa Ibrahim, Haitham Khatatbeh, Annamaria Pakai, Abdulmajeed A. Alkhamees, Saeed A. Al‐Dossary
Journal of Clinical Nursing, 2023
Comparison of the feeding habits of breastfeeding and non-breastfeeding mothers and the sociodemographic factors influencing breastfeeding
Anita Hulman, Katalin Varga, Zsombor Ádám, Annamária Pakai
Orvosi Hetilap, 2023
Burnout, quality of life and perceived patient adverse events among paediatric nurses during the COVID-19 pandemic
Haitham Khatatbeh, Tariq Al‐Dwaikat, Huda Alfatafta, Amira Mohammed Ali, Annamária Pakai
Journal of Clinical Nursing, 2023
Attitudes toward COVID-19 disease and vaccination in Hungary: A comparison of nurses and health workers against non-health workers
Annamária Pakai, Amira Mohammed Ali, Mohammed ALBashtawy, Miklós Zrínyi, Ilona Karácsony, Ibrahim Ayasreh, Rana Abdelfattah Al Awamleh, Haitham Khatatbeh
Nursing Practice Today, 2023
Quality of life in Hungarian polio survivors
Erika Viktória Miszory, Melinda Járomi, Annamária Pakai
Journal of Public Health Germany, 2023
Estimation of short-term and medium-term survival from sudden cardiac death based on the initial rhythm
Mercedes Ahmann, Péter Kanizsai, Attila Kónyi, Ied Al-Sadoon, Annamária Pakai, Tímea Csákvári, Zsófia Verzár
Italian Journal of Medicine, 2023
Nurse preferences of caring robots: A conjoint experiment to explore most valued robot features
Miklós Zrínyi, Annamária Pakai, Kinga Lampek, Dezső Vass, Adrienn Siket Újváriné, József Betlehem, András Oláh
Nursing Open, 2023
INEQUALITIES IN PREMATURE MORTALITY FROM ISCHAEMIC HEART DISEASE IN THE WHO EUROPEAN REGION
Noémi Németh, Imre Boncz, Annamária Pakai, Diána Elmer, Lilla Horváth, Róbert Pónusz, Tímea Csákvári, Zsuzsa Kívés, Iván Gábor Horváth, Dóra Endrei
Central European Journal of Public Health, 2023
Cross-cultural adaptation and validation of the rapid assessment of physical activity questionnaire (RAPA) in Hungarian elderly over 50 years
Erika Viktória Miszory, Alexandra Makai, Annamária Pakai, Melinda Járomi
BMC Sports Science Medicine and Rehabilitation, 2022
Changing the Perceived Views of Student Nurses Concerning Healthcare Robots: A Video Intervention Approach
Miklós Zrínyi, Kinga Lampek, Annamária Pakai, Dezső Vass, András Oláh
CIN Computers Informatics Nursing, 2022
Predicting cervical screening and HPV vaccination attendance of Roma women in Hungary: community nurse contribution is key
Annamária Pakai, Réka Mihály-Vajda, Zsuzsanna Kívés Horváthné, Krisztina Szabó Gabara, Eszter Basa Bogdánné, András Oláh, Miklós Zrínyi, Adrienn Siket Újváriné
BMC Nursing, 2022
Prevalence and impact of metabolic syndrome on outcomes of acute coronary syndrome patients in two different countries
Viola Keczeli, Ied Al-Sadoon, Orsolya Máté, Sára Jeges, Éva Polyák, Annamária Karamánné Pakai, Mercédesz Ahmann, Andrea Gubicskóné Kisbenedek, Zsófia Verzár
Acta Angiologica, 2022
Effectiveness of Preoperative Chest Physiotherapy in Patients Undergoing Elective Cardiac Surgery, a Systematic Review and Meta-Analysis
Hadel Shahood, Annamaria Pakai, Rudolf Kiss, Bory Eva, Noemi Szilagyi, Adrienn Sandor, Zsofia Verzar
Medicina Lithuania, 2022
Paediatric nurses' burnout and perceived health: The moderating effect of the common work-shift
Haitham Khatatbeh, Sahar Hammoud, Moawiah Khatatbeh, András Oláh, Annamária Pakai
Nursing Open, 2022
Nurses’ burnout and quality of life: A systematic review and critical analysis of measures used
Haitham Khatatbeh, Annamária Pakai, Tariq Al‐Dwaikat, David Onchonga, Faten Amer, Viktória Prémusz, András Oláh
Nursing Open, 2022
Examination of Complications and Differentiating Factors (Method of Conception, Nutritional Status, Weight Gain) in Twin Pregnancies
Ilona Karácsony, Laura Deáki, Annamária Pakai, Mónika Ferenczy
Croatian Nursing Journal, 2022
The relationship between paediatric nurses' quality of life and intent to leave: The moderating role of hospital type
Haitham Khatatbeh, Miklós Zrínyi, András Oláh, Annamária Pakai
Nursing Open, 2022
The effect of preoperative chest physiotherapy on oxygenation and lung function in cardiac surgery patients: a randomized controlled study
Hadel Shahood, Annamaria Pakai, Kiss Rudolf, Eva Bory, Noemi Szilagyi, Adrienn Sandor, Verzar Zsofia
Annals of Saudi Medicine, 2022
ADOLESCENTS' SLEEP QUALITY IN THE CONTEXT OF INTERNET USE
Katalin Fusz, Viktória Bencsik, András Deák, Krisztina Takács, Annamária Pakai, András Oláh, Eszter Somlai
Ideggyogyaszati Szemle, 2022
The relationships between paediatric nurses' social support, job satisfaction and patient adverse events
Haitham Khatatbeh, Tariq Al‐Dwaikat, András Oláh, David Onchonga, Sahar Hammoud, Faten Amer, Viktória Prémusz, Annamária Pakai
Nursing Open, 2021
Influence of cognitive function and nurse support on malnutrition risk in nursing home residents
Annamária Pakai, Emese Havasi‐Sántha, Erzsébet Mák, Orsolya Máté, Dorina Pusztai, Noémi Fullér, Miklós Zrínyi, András Oláh
Nursing Open, 2021
Burnout and patient safety: A discriminant analysis of paediatric nurses by low to high managerial support
Haitham Khatatbeh, Annamária Pakai, Dorina Pusztai, Szilvia Szunomár, Noémi Fullér, Gyula Kovács Szebeni, Adrienn Siket, Miklós Zrínyi, András Oláh
Nursing Open, 2021
Health behavior, sleep quality and subjective health status among Hungarian nurses working varying shifts
Katalin Fusz, Zsuzsanna Kívés, Annamária Pakai, Natália Kutfej, András Deák, András Oláh
Work, 2021
Novel aspects of differences in arterial stiffness parameters during short abstinent period in smokers vs. non-smokers
Zsófia Mrekváné Burián, Annamária Pakai, Attila Cziráki, Zsófia Verzár
Artery Research, 2020
Examination of work-related stress and coping strategies among ambulance- and air-ambulance workers
Bence Schiszler, Annamária Karamánné Pakai, Zoltán Szabó, László Bence Raposa, Róbert Pónusz, Balázs Radnai, Dóra Endrei
Orvosi Hetilap, 2016
Work schedules in the Hungarian health care system and the sleep quality of nurses
Katalin Fusz, Annamária Pakai, Zsuzsanna Kívés, Szilvia Szunomár, Annamária Regős, András Oláh
Orvosi Hetilap, 2016
Narrative Group Therapy for Alcohol Dependent Patients
József Szabó, Szilvia Tóth, Annamária Karamánné Pakai
International Journal of Mental Health and Addiction, 2014
Providing information and psychological support for parents in case of postnatally diagnosed down syndrome. Results of a comprehensive Hungarian survey
Lege Artis Medicinae, 2014
Analysis of the knowledge on cervical cancer and attendance indicators of cervical screening
Lege Artis Medicinae, 2014
The relationship of coping mechanisms and social support among hungarian women suffering from malignant breast cancer
New Medicine, 2011

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