Professioni infermieristiche最新文献

Introduction: Healthcare-associated infections (HAIs) are the most common adverse event in hospitals and a major public health problem with a negative impact on morbidity, mortality and quality of life. Governmental and non-governmental organizations are developing and strengthening plans to improve Infection and Prevention Control (IPC) programmes. Adopting reliable, effective and integrated IPC programmes can prevent 50% of HAIs. Implementation of a Infection Control Link Nurse (ICLN) system at the health care facility level is one of these.

Aim: To obtain from a literature review evidence-based recommendations and practical instruments for developing and implementing a training course for ICLN.

Methods: A literature review was conducted by searching the Cochrane Library, PubMed, Cinahl without time limits, until July 2019. PICO methodology was adopted to build the research question and the Prisma Flow Diagram chosen for the selection of studies. Results The final review included 4 studies which dealt with the following main topics: selection of the personnel, profile, educational pathway, activities and factors that affects ICLN.

Discussion: Even though there is no accordance on duration and contents of LN training courses, its usefulness is well accepted. Using expert clinical nurses on prevention, control and management of HAIs for LN programmes is useful when they are capable of being opinion leaders and trainers among their teams, as well as a formal connection to management areas and administrators.

Aim: to analyze the prevalence of Burnout defined by the MBI-GS among Italian Intensive Care (ICU) staff during the COVID-19 outbreak.

Method: a multicentric study was conducted. A sample of 197 ICU health professionals (135 nurses and 62 physicians) participated in the study. Between 25 March and 15 May 2020, the Maslach Burnout Inventory-General Survey (MBI-GS) questionnaire was made available online by using the Google Forms platform in order to detect and measure the severity ofBurnout Syndrome (BOS).

Results: BOS-related symptoms (medium or high score) for individual MBI-GS domains have been identified in at least 69% of ICU healthcare professionals. Ninety-eight healthcare professionals (49.7%) had a moderate-high risk of emotional exhaustion, 108 (54.8%) ofdepersonalization, and 102 (51.8%) of reduced professional accomplishment. A high risk of emotional exhaustion, a moderate risk of depersonalization(56.3% vs 32.2%) and a moderate risk for reduced professional accomplishment (60.7% vs 24.2%) were observed among nursing staff. A strong association between increase in age and increase of the Burnout risk in ICU's staff was observed.

Conclusions: the results suggest that ICU staff during the coronavirus pandemic, had high levels of work-related suffering and were at risk of physical and emotional exhaustion. However, further research should be undertaken to establish causal relationships between BOS and personal and environmental risk factors among healthcare professionals in relation to the COVID-19 outbreak.

Introduction: Nursing theories are essential for orienting nursing practice. To date, three models for nursing practice have been developed in Italy. In addition, significant epistemological reflections have been published, sparking a rich professional debate regarding the theoretical foundations of nursing in Italy. However, conceptual models from other countries are often still used, despite many difficulties associated with applying them in practice. In order to investigate and redress this 'theoretical gap' and related implications for intervention, three scoping reviews of the Italian nursing literature were conducted to examine three categories of nursing knowledge: (a) nursing practice in Italy; (b) the basic nursing concepts of person, health, environment and nursing; and (c) regulatory/normative statements regarding what nursing practice should be in Italy.

Aim: The purpose of this investigation was to identify how nursing is conceptualized in the Italian literature through an integrative narrative analysis of three scoping reviews.

Methods: The Scoping Review according to the recommendations published by Arksey and O'Malley and subsequently implemented by Levac et al. has been selected as the optimal methodology for mapping nursing knowledge. At the end of the reviews carried out to answer the three research questions, the researchers integrated the results by conducting a coding of the results.

Results: The narrative synthesis highlighted a systemic conception of persons in their social context, 'incorporated' within relational systems. Persons are imagined as active agents with self-determination toward promoting their own health. Health, derived from levels of equilibrium between multiple systemic components and based on the person's holistic view, is a fundamental right and a collective social interest. Maintaining or promoting a person's health requires careful consideration of all these constitutive and integral elements. The nursing process is implemented through technical acts as well as relational and caring skills. Professional autonomy, influenced by clinical and organizational contexts, is expressed in collaboration with other professionals who contribute to the healthcare process. The results of this integrative narrative analysis suggest the need for a holistic vision of persons, with an active role in their health management, indissociable from the system of relationships in which this is contextualized, within which nurses are embedded.

Conclusion: In light of the results of our investigation, the promotion of a conceptualization of nursing based on the centrality of the person-social relational system and on the active role of persons that nurses work with, this could guide approaches used in nursing education and administration. This could help enhance care provided by nurses and persons' participation in dec

Introduction: Despite the possibility of providing palliative care, the global requests of patients to be included in assisted suicide and euthanasia pathways have significantly increased in the last 15 years. According to the law, the discussion on these procedures is still open in many countries, including Italy. Therefore, it is important to investigate the opinion of health care workers.

Methods: A questionnaire was designed and administered to nurses working in two hospitals in Milan, with the aim of investigating their opinion and working propensity in the context of assisted suicide. The instrument has undergone a preliminary validation process to in order to asses its psychometric properties.

Results: The opinions of the sample (n=430) were mostly in favor of assisted suicide and euthanasia; however, as regards "propensity", only a small majority was in favor or very much in favor of working in contexts where the procedures described above were practiced, with increase in undecided and in those against.

Discussion: According to the Italian law in force, anyone participating in assisted suicide or euthanasia procedures would be prosecuted by law; this implies that healthcare professionals do not have direct knowledge of assisted dying procedures and could be an explanation for the large numbers of undecided respondents in the last questions of the questionnaire. In spite of the limitations of the survey carried out, consisting mainly in the limited sample and in the monocentric design, the opinion of the staff seems to be largely in favor of the patient's freedom of choice; it is likely that similar percentages are justified by a deep-rooted direct experience in a general situation where the assistance that can be provided to the patient is not sufficient.

Background: Suicidal acts are a public health problem worldwide and require nurses to have appropriate skills to deal with it. It is important to study the level of knowledge, as well as the perception of nursing students towards suicidal ideation; a tool created for this purpose, the Suicide Behavior Attitude Questionnaire (SBAQ) has proven its validity and reliability in English.

Aim: To assess the psychometric properties of the Italian version of the SBAQ (SBAQ-ita).

Methods: Multicentric study. The SBAQ-ita was administered to students of two Nursing schools in two universities in Italy. The CVI-I was calculated to evaluate the validity of the content of the SBAQ-ita. Construct validity was investigated through exploratory factor analysis. Cronbach's alpha coefficient (α) was used to examine the internal consistency of each scale factor. Spearman's rho coefficient was used to test stability.

Results: The SBAQ-ita was administered to 205 students from October to November 2019. The analysis showed a four-factor structure with Cronbach's α always ≥0.70. The CVI-I was 0.97. 25 students filled in the scale again after 7 days (test-retest rho=0.92).

Conclusion: The SBAQ-ita is a valid and reliable tool for the study of the students' attitude in the Bachelor of Science in Nursing towards caring for the person with suicidal ideation. postoperative settings.

Background: The population ageing generates new challenges related to the treatment of chronic diseases. The course of the disease makes patients and caregivers (CGs) vulnerable and their ability to self-care is threatened. CGs can be supported by the Advanced Practice Nurse (APN).

Objective: The aim is to deepen the CGs' needs of people with chronic conditions in Insubrica region.

Methos: It's a qualitative descriptive survey, conducted between September 2019 and February 2020. The CGs' convenience sample of people with chronic illness was differentiated by age, gender, profession, chronic diseases and included 20 participants. Data were collected through short motivational interviews and the compilation of a socio-family genogram. The thematic analysis of the interviews' Verbatim transcription was carried out by 4 researchers.

Results: The thematic analysis has shown 26 themes collected in 6 macrothemes and in addition highlighted that the chronic condition and vulnerability are linked together; therapeutic adherence and self-care depend on disease awareness, and CGs make little use of the social support network; CONCLUSION: Based on the results, it can be said that the APN can meet the GCs' needs through the skills gained in training (CanMEDS and Hamric model); encourage inter-professional and integrated care, and promote the formal and informal network.

Background: High-fidelity simulation can be defined as a technique to refine specific human performance in a protected environment, and thanks to the innovation of technologies it has been possible to obtain increasingly realistic performances. The aim of this study is to map and describe the effects of training through a high-fidelity simulation method on the technical and non-technical skills of nursing students in an emergency setting.

Methods: A scoping review was chosen as research methodology within some main databases of biomedical interest: MEDLINE, Scopus, CINAHL, PsycINFO, Academic Search Index, Science Citation Index and ERIC.

Results: 530 articles were selected. Of these, 21 met the inclusion criteria and underwent the review process. Participants undergoing the intervention demonstrated better skills than the control group when subjected to a simulation based on realistic scenarios. The selected articles can be divided into two categories: those that focus essentially on non-technical skills and those that study only technical skills.

Conclusion: Evidence suggests that HFS should include feedback, briefing and debriefing; it should be applied in every area of nursing education; student self-efficacy, confidence and competence are key principles to consider when measuring the effect of a simulation environment.

Introduction: Bullying in health care setting has a globally prevalence between 1% and 87% and it's in constant increase described by "WHO" as: "Bullying is a major public health problem". It is defined as a repeated ill-treatment, harmful for the health of one or more individuals by one or more people. There are different types of behaviours and they vary from verbal abuse, offensive conduct, humiliating and intimidating attitudes. Those attitudes won't help you doing your job. Different are the outcomes that those actions have on victims: anxiety, sleep disturbances, generalized pain and reduced attention. The objective of the study was to investigate the presence of the phenomenon within the Ticino (Swiss Canton) on healthcare contexts and to explain its experiences.

Methods: A qualitative study was conducted on a sample of healthcare professionals who are active in the Ticino (Switzerland) healthcare context through 18 semi-structured interviews and their thematic analysis.

Results: The results that emerged shows how the problem is also relevant in Ticino`s healthcare contexts, sometimes with different modalities and outcomes, moreover, experiencing these situations during one's working career leads to re-proposing such behaviours, as it is considered a rite of passage. What emerges in a predominant way is the lack of programs or structures aimed to prevent and support the victim and the perpetrator.

Aim: To describe job satisfaction and to explore the rationale for the nurse turnover request.

Method: A mix-method was carried out. The study was conducted in Hub Hospital in Rome, using a convenience sampling to all nursing staff on duty in the following areas: medical area, surgical and urgency/emergency areas.

Results: The sample of 133 nurses was found to have good job satisfaction (60.9%). 21% feel dissatisfied and 18% are uncertain about the degree of satisfaction. Nurses belonging to the urgent-emergency area showed the highest satisfaction (43.7%), while the most dissatisfied were nurses of the surgical area (53.3%). The age group between 45-50 years is useful for immediate turnover, compared to the over 50 who prefer to remain in the reality where it operates. The qualitative analysis revealed 7 macro-areas.

Conclusions: Nurses have good job satisfaction, but many of them believe a turnover is necessary. The findings have important implications for nurses by helping to improve work environments, thus reducing turnover intention.