Silvia Giuffrida, Sabrina Fiala, Lara Barro, Silvia Pazzi, Emiliano Soldini, Sara Levati, C. Prandi, M. Bianchi, Vincenzo D'Angelo
INTRODUCTION According to the theory of Self-Regulation, the individual develops self-regulation processes that guide the course of pathology through mental representations of disease. These should be an essential part of nursing in developing the patient's motivation and self-efficacy, and the Illness Perception Questionnaire allows us to understand the construction processes. AIM The aim is to analyze the mental representations of illness of a group of chronically ill patients, to evaluate the implications in therapeutic adherence and clinical practice. METHODS Pilot study conducted on a sample of 89 chronically ill patients through the Illness Perception Questionnaire. RESULTS By correlating the illness dimensions of the Self-Regulation, the significant relationship between emotional representations and the other dimensions emerges. Negative emotions lead the individual to perceive more the cyclical duration of the disease, the severity of its consequences, have a lower perception of coherence and understanding of the disease. A greater opinion of personal control corresponds to a lower perception of serious consequences and a greater perception of control of treatment. The prevalence of negative emotions and a lower disease consistency score are highlighted in patients with low educational level. CONCLUSION The study demonstrated the adequacy of IPQ-r in detecting disease representations, which can affect outcomes in treatment. Above all, the importance of the emotional dimension related to the perception of the disease. The application of IPQ-r can be a valid tool for nurses in detecting the perception of illness of their patients resulting in a useful strategy to promote the educational process and promote adequate therapeutic adherence.
{"title":"[Description and analysis of disease representation in chronic patients through the Illness Perception Questionnaire (IPQ-r): implications for clinical practice].","authors":"Silvia Giuffrida, Sabrina Fiala, Lara Barro, Silvia Pazzi, Emiliano Soldini, Sara Levati, C. Prandi, M. Bianchi, Vincenzo D'Angelo","doi":"10.7429/pi.2021.744226","DOIUrl":"https://doi.org/10.7429/pi.2021.744226","url":null,"abstract":"INTRODUCTION According to the theory of Self-Regulation, the individual develops self-regulation processes that guide the course of pathology through mental representations of disease. These should be an essential part of nursing in developing the patient's motivation and self-efficacy, and the Illness Perception Questionnaire allows us to understand the construction processes. AIM The aim is to analyze the mental representations of illness of a group of chronically ill patients, to evaluate the implications in therapeutic adherence and clinical practice. METHODS Pilot study conducted on a sample of 89 chronically ill patients through the Illness Perception Questionnaire. RESULTS By correlating the illness dimensions of the Self-Regulation, the significant relationship between emotional representations and the other dimensions emerges. Negative emotions lead the individual to perceive more the cyclical duration of the disease, the severity of its consequences, have a lower perception of coherence and understanding of the disease. A greater opinion of personal control corresponds to a lower perception of serious consequences and a greater perception of control of treatment. The prevalence of negative emotions and a lower disease consistency score are highlighted in patients with low educational level. CONCLUSION The study demonstrated the adequacy of IPQ-r in detecting disease representations, which can affect outcomes in treatment. Above all, the importance of the emotional dimension related to the perception of the disease. The application of IPQ-r can be a valid tool for nurses in detecting the perception of illness of their patients resulting in a useful strategy to promote the educational process and promote adequate therapeutic adherence.","PeriodicalId":34911,"journal":{"name":"Professioni infermieristiche","volume":"74 4 1","pages":"219-226"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71303569","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
INTRODUCTION Substantial research over several decades has documented high burnout rates among hospital nurses globally. However, improvements in nurses' work environments to reduce burnout have been lacking. The Covid-19 pandemic has generated renewed interest in how to reduce nurse burnout. AIMS To determine the extent to which high burnout being observed among nurses during the Covid-19 pandemic is primarily the result of increased numbers of critically ill patients or conditions that predated the pandemic. METHODS A two-wave email survey was undertaken of all active registered nurses (RNs) in two large U.S. states of New York and Illinois. The first survey was administered between December 16, 2019 and February 28, 2021 before Covid-19 had been identified in the U.S.; the second survey was between March 1 and June 1 of 2021 during continuing Covid-19 surges in critically ill hospitalized patients. An additional survey using many of the same items was administered from January to June of 2021 to physicians and nurses practicing in Magnet Recognized hospitals located nation-wide . RESULTS Some 46% of direct care hospital nurses experienced high burnout immediately prior to the identification of Covid-19. When measured in the midst of the Covid-19 pandemic, that number had increased to 50%. The increase in nurse burnout was greatest in critical care rising from 47% pre-Covid to 62% during Covid. High burnout among hospital physicians measured during the pandemic was 30%. Overall, 20 % of hospital nurses reported they intended to leave their jobs within the coming year pre-Covid which increased to 25% during Covid; that rate was 24% for critical care nurses prior to Covid rising to 29% during Covid. CONCLUSIONS The very high rates of nurse burnout and intent to leave their jobs in hospitals predated the Covid-19 pandemic. Thus solutions to clinician burnout must address the root causes that have been evident and not addressed in hospitals for decades. This is not a short term problem caused by the surge of critically ill Covid-19 patients but the result of chronic mismanagement of the nurse workforce through chronic nurse understaffing in hospitals and poor work environments. Doctors are also being negatively affected by poor work environments. It would be a very big mistake to return to the same human resource policies after the pandemic has diminished.
{"title":"Nursing Outcomes and Nurses' Wellbeing.","authors":"L. Aiken","doi":"10.7429/pi.2021.744255a","DOIUrl":"https://doi.org/10.7429/pi.2021.744255a","url":null,"abstract":"INTRODUCTION Substantial research over several decades has documented high burnout rates among hospital nurses globally. However, improvements in nurses' work environments to reduce burnout have been lacking. The Covid-19 pandemic has generated renewed interest in how to reduce nurse burnout. AIMS To determine the extent to which high burnout being observed among nurses during the Covid-19 pandemic is primarily the result of increased numbers of critically ill patients or conditions that predated the pandemic. METHODS A two-wave email survey was undertaken of all active registered nurses (RNs) in two large U.S. states of New York and Illinois. The first survey was administered between December 16, 2019 and February 28, 2021 before Covid-19 had been identified in the U.S.; the second survey was between March 1 and June 1 of 2021 during continuing Covid-19 surges in critically ill hospitalized patients. An additional survey using many of the same items was administered from January to June of 2021 to physicians and nurses practicing in Magnet Recognized hospitals located nation-wide . RESULTS Some 46% of direct care hospital nurses experienced high burnout immediately prior to the identification of Covid-19. When measured in the midst of the Covid-19 pandemic, that number had increased to 50%. The increase in nurse burnout was greatest in critical care rising from 47% pre-Covid to 62% during Covid. High burnout among hospital physicians measured during the pandemic was 30%. Overall, 20 % of hospital nurses reported they intended to leave their jobs within the coming year pre-Covid which increased to 25% during Covid; that rate was 24% for critical care nurses prior to Covid rising to 29% during Covid. CONCLUSIONS The very high rates of nurse burnout and intent to leave their jobs in hospitals predated the Covid-19 pandemic. Thus solutions to clinician burnout must address the root causes that have been evident and not addressed in hospitals for decades. This is not a short term problem caused by the surge of critically ill Covid-19 patients but the result of chronic mismanagement of the nurse workforce through chronic nurse understaffing in hospitals and poor work environments. Doctors are also being negatively affected by poor work environments. It would be a very big mistake to return to the same human resource policies after the pandemic has diminished.","PeriodicalId":34911,"journal":{"name":"Professioni infermieristiche","volume":"74 4 1","pages":"255"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71303690","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Andrea Gazzelloni, Giuliana D'Elpidio, Cristina Calandrella, Valentina Pizziconi
BACKGROUND Nursing profession requires a complex set of capacities, such as team building, reaching a common goal, understanding of different roles, good communication, and positive conflict resolution. Teaching this kind of competencies during the university course is challenging. Team sports require quite similar abilities to those of a nursing tam. Introducing team sport into academic course could contribute to teach and to train these key competencies to nursing students. AIM To improve important personal skills for nursing profession through team sport. METHODS Students were invited to participate in team sport activities. To promote autonomy and initiative students were asked to create two teams (soccer and volleyball), to organize groups, to assign roles, and to choose the uniform. The two teams participated to a city university sports championship. Nursing school supported students in all the activities. At the end of the sport season, an anonymous questionnaire was administered to students. RESULTS 24/107 nursing students (22.4%) participated, 13/24 males (54%) and 11/24 females (46%), (mean age 22.42 years, SD 2.28). 15/24 students (62.5%) attended all the training sessions. Students satisfaction was generally very positive in terms of physical wellness (87.5%), team building (95.8%), sharing and working for common goals (100%), and positive conflict resolution (100%), both when witnessed and experienced. All students would repeat and recommend the experience. CONCLUSIONS Results were generally positive, but further research is necessary to evaluate potential positive effects in terms of nursing activities. NURSING IMPLICATIONS Nursing course is very challenging, and promoting team-sport activities among students could have positive impact on professional skills education.
{"title":"Nursing students and sport: health promotion, team building and professional skills education.","authors":"Andrea Gazzelloni, Giuliana D'Elpidio, Cristina Calandrella, Valentina Pizziconi","doi":"10.7429/pi.2021.744268a","DOIUrl":"https://doi.org/10.7429/pi.2021.744268a","url":null,"abstract":"BACKGROUND Nursing profession requires a complex set of capacities, such as team building, reaching a common goal, understanding of different roles, good communication, and positive conflict resolution. Teaching this kind of competencies during the university course is challenging. Team sports require quite similar abilities to those of a nursing tam. Introducing team sport into academic course could contribute to teach and to train these key competencies to nursing students. AIM To improve important personal skills for nursing profession through team sport. METHODS Students were invited to participate in team sport activities. To promote autonomy and initiative students were asked to create two teams (soccer and volleyball), to organize groups, to assign roles, and to choose the uniform. The two teams participated to a city university sports championship. Nursing school supported students in all the activities. At the end of the sport season, an anonymous questionnaire was administered to students. RESULTS 24/107 nursing students (22.4%) participated, 13/24 males (54%) and 11/24 females (46%), (mean age 22.42 years, SD 2.28). 15/24 students (62.5%) attended all the training sessions. Students satisfaction was generally very positive in terms of physical wellness (87.5%), team building (95.8%), sharing and working for common goals (100%), and positive conflict resolution (100%), both when witnessed and experienced. All students would repeat and recommend the experience. CONCLUSIONS Results were generally positive, but further research is necessary to evaluate potential positive effects in terms of nursing activities. NURSING IMPLICATIONS Nursing course is very challenging, and promoting team-sport activities among students could have positive impact on professional skills education.","PeriodicalId":34911,"journal":{"name":"Professioni infermieristiche","volume":"74 4 1","pages":"268"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71303827","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
BACKGROUND The nursing record is often devoid of tools for nutritional evaluation: detection of signs and symptoms, nutritional screening such as the Malnutrition Universal Screening Tool (MUST) and the Mini Nutritional Assessment (MNA), anthropometric parameters: such as weight; with these tools. Therefore, it is possible to frame the patient according to his nutritional status and establish the most appropriate care path. Inappropriate documentation can create a negative nutritional spiral that carries an increased risk of serious health-related complications. It also hinders follow-up. In the literature it emerges the importance of using dysphagia screening and nutritional status assessment, these must be introduced into the hospital routine to avoid the damage caused by dysphagia and malnutrition. The literature shows how nutritional risk affects the increase in mortality, morbidity, days of hospitalization and re-admission to hospital one year after discharge. Malnourished patients had a longer hospital stay than normally fed patients, used more drugs and underwent more diagnostic tests and finally greater mortality. Malnutrition, to treat it appropriately, would be enough to be detected with simple screening tools. AIM This study aimed to estimate the prevalence of hypoalbuminemia in hospidalized elders before treatment for free flap plastic surgery after intervention for head-neck cancer, their nutritional status and lenght of stay. METHODS Retrospective observational study with 28 patients with head and neck cancer who underwent free flap recostruction in hospital at the Galliera Hospital Genoa during two years from Jenuary 2017 to December 2018. Clinical and surgical procedure-related factors were retrieved from a database and analyzed. RESULTS 28 patients ( 19 men, 9 women) were included in this study. The mean age of the study population was 61 years (range, 18 to 80 yr). The mean BMI was 23.30 kg/m2 ( range, 17.53 to 30.9 kg/m2). The mean lenght of stay was 35 days ( range, 11 to 122 days). The mean of the level albumin was 3.34 g/dl ( range, 2.1 to 4.5 g/dl). One surgical mortality was noted. The data emerged from the survey report the values of albumin and lymphocytes decreasing compared to the entrance, an extremely significant figure is also that of the days of hospitalization, which almost double in presence of one or more complications. The comparison between the average value of the days of stay of the stitches in patients without complications and the mean value of the days of stay of sutures in patients with complications, with a percentage deviation of 51.96%. The difference in patients with a lower incoming plasma albumin level compared to the group with normal levels allowed comparative analyses with respect to outcomes. 13 patients demonstrated albuminemia levels below the threshold of normal input, 15 adequate levels. The 13 patients with different albumenemic libellus developed site infection with an increase in a
{"title":"Nursing management and prevention of malnutrition in the patient with head-neck cancer.","authors":"Francesca Mantero","doi":"10.7429/pi.2021.744269a","DOIUrl":"https://doi.org/10.7429/pi.2021.744269a","url":null,"abstract":"BACKGROUND The nursing record is often devoid of tools for nutritional evaluation: detection of signs and symptoms, nutritional screening such as the Malnutrition Universal Screening Tool (MUST) and the Mini Nutritional Assessment (MNA), anthropometric parameters: such as weight; with these tools. Therefore, it is possible to frame the patient according to his nutritional status and establish the most appropriate care path. Inappropriate documentation can create a negative nutritional spiral that carries an increased risk of serious health-related complications. It also hinders follow-up. In the literature it emerges the importance of using dysphagia screening and nutritional status assessment, these must be introduced into the hospital routine to avoid the damage caused by dysphagia and malnutrition. The literature shows how nutritional risk affects the increase in mortality, morbidity, days of hospitalization and re-admission to hospital one year after discharge. Malnourished patients had a longer hospital stay than normally fed patients, used more drugs and underwent more diagnostic tests and finally greater mortality. Malnutrition, to treat it appropriately, would be enough to be detected with simple screening tools. AIM This study aimed to estimate the prevalence of hypoalbuminemia in hospidalized elders before treatment for free flap plastic surgery after intervention for head-neck cancer, their nutritional status and lenght of stay. METHODS Retrospective observational study with 28 patients with head and neck cancer who underwent free flap recostruction in hospital at the Galliera Hospital Genoa during two years from Jenuary 2017 to December 2018. Clinical and surgical procedure-related factors were retrieved from a database and analyzed. RESULTS 28 patients ( 19 men, 9 women) were included in this study. The mean age of the study population was 61 years (range, 18 to 80 yr). The mean BMI was 23.30 kg/m2 ( range, 17.53 to 30.9 kg/m2). The mean lenght of stay was 35 days ( range, 11 to 122 days). The mean of the level albumin was 3.34 g/dl ( range, 2.1 to 4.5 g/dl). One surgical mortality was noted. The data emerged from the survey report the values of albumin and lymphocytes decreasing compared to the entrance, an extremely significant figure is also that of the days of hospitalization, which almost double in presence of one or more complications. The comparison between the average value of the days of stay of the stitches in patients without complications and the mean value of the days of stay of sutures in patients with complications, with a percentage deviation of 51.96%. The difference in patients with a lower incoming plasma albumin level compared to the group with normal levels allowed comparative analyses with respect to outcomes. 13 patients demonstrated albuminemia levels below the threshold of normal input, 15 adequate levels. The 13 patients with different albumenemic libellus developed site infection with an increase in a","PeriodicalId":34911,"journal":{"name":"Professioni infermieristiche","volume":"258 1","pages":"269"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71303881","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Gabriella Costamagna, Giuseppe Fiumano', Anna Trentalange, A. Laezza, Maurizio Dall'Acqua
BACKGROUND Medical Humanities and participatory experiences connect Culture, Art and Health promoting well-being, health. The Social and Community Theater is part of this approach. From the data collected by health care professionals and family members, it emerged the great fragility to which we were exposed in time of pandemic. AIM Describing the experience of care, connection and empathic understanding of health care professionals and family members' fragility and pain during the Covid period, in order to highlight the importance of an health and social community that takes care of itself. METHODS Qualitative descriptive study conducted according to the methodology of the Social and Community Theatre with the involvement of internal networks: Directions, nursing and health groups and external partneship (anthropologists, psychologists, artists). Dramatic/theatrical approach autobiographical narration's one. RESULTS Five hundred people involved in two events in which they shared stories of care professionals and patients' families. The great pain obtained a new human and symbolical meaning. Connection of different symbolical levels : body, relationship, olive tree, ground, water.The book "An olive tree to remember and celebrate life" was published: it enriches narrations with human value. Moreover recurring and common themes and emotions emerged from the analysis. CONCLUSIONS The experience created the conditions for the structured use of the methodology in order to strengthen life skills in health care professionals for events management, that generates high levels of work stress. NURSING IMPLICATIONS Reflection on the importance of giving voice and sharing the experiences in multiprofessional and social communities to give meaning to the ethical and human sense of one's action in the relationship of care.
{"title":"Social and community theatre as a response to the stress experienced by nurses, health professionals, and the relatives of those treated during the pandemic: the experience of the Mauriziano Hospital.","authors":"Gabriella Costamagna, Giuseppe Fiumano', Anna Trentalange, A. Laezza, Maurizio Dall'Acqua","doi":"10.7429/pi.2021.744263a","DOIUrl":"https://doi.org/10.7429/pi.2021.744263a","url":null,"abstract":"BACKGROUND Medical Humanities and participatory experiences connect Culture, Art and Health promoting well-being, health. The Social and Community Theater is part of this approach. From the data collected by health care professionals and family members, it emerged the great fragility to which we were exposed in time of pandemic. AIM Describing the experience of care, connection and empathic understanding of health care professionals and family members' fragility and pain during the Covid period, in order to highlight the importance of an health and social community that takes care of itself. METHODS Qualitative descriptive study conducted according to the methodology of the Social and Community Theatre with the involvement of internal networks: Directions, nursing and health groups and external partneship (anthropologists, psychologists, artists). Dramatic/theatrical approach autobiographical narration's one. RESULTS Five hundred people involved in two events in which they shared stories of care professionals and patients' families. The great pain obtained a new human and symbolical meaning. Connection of different symbolical levels : body, relationship, olive tree, ground, water.The book \"An olive tree to remember and celebrate life\" was published: it enriches narrations with human value. Moreover recurring and common themes and emotions emerged from the analysis. CONCLUSIONS The experience created the conditions for the structured use of the methodology in order to strengthen life skills in health care professionals for events management, that generates high levels of work stress. NURSING IMPLICATIONS Reflection on the importance of giving voice and sharing the experiences in multiprofessional and social communities to give meaning to the ethical and human sense of one's action in the relationship of care.","PeriodicalId":34911,"journal":{"name":"Professioni infermieristiche","volume":"40 1","pages":"263"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71303593","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
BACKGROUND According to the WHO, 86% of deaths and 75% of healthcare costs in Europe are attributable to diseases, which share risk factors, including obesity, overweight and high blood pressure. Common point to these factors is their modifiability, adopting correct life habits. AIM It is, therefore, appropriate to investigate teenagers' eating habits, in order to familiarize them with the risks associated with incorrect diet, develop their critical thinking regarding sources of information and strengthen their life skills. The chosen approach to achieve these goals is to develop food education programs focused on Peer education. METHODS To collect the necessary data, Focus groups have been run in November 2017, in "Da Vigo Nicoloso High School" in Rapallo (Genoa). A random selection of participants, within homogeneous groups (ages 13-14 and 17-18), has been applied. RESULTS Eating choices among teenagers represent a strong element of identity. Sharing experiences produces consequences on individual and collective tastes. Awareness in young people regarding correct food choices grows with increasing age; so does sensitivity to being conditioned by interpersonal relationships and messages conveyed through the mass media. CONCLUSIONS It is advisable to develop education programs, specifically aimed at individuals in the age range 13-18. This will both develop their skills in the field of food awareness, and it will enable them to become the source of positive influences within their families and among their acquaintances. NURSING IMPLICATIONS Nurse plays a fundamental role as an active subject in this field of primary prevention, transmitting knowledge to the recipients, coordinating with other professional figures (psychologists/professional educators).
{"title":"Nutrition and Health: Survey on Food Awareness in Teenagers.","authors":"Andrea Costantino","doi":"10.7429/pi.2021.744263b","DOIUrl":"https://doi.org/10.7429/pi.2021.744263b","url":null,"abstract":"BACKGROUND According to the WHO, 86% of deaths and 75% of healthcare costs in Europe are attributable to diseases, which share risk factors, including obesity, overweight and high blood pressure. Common point to these factors is their modifiability, adopting correct life habits. AIM It is, therefore, appropriate to investigate teenagers' eating habits, in order to familiarize them with the risks associated with incorrect diet, develop their critical thinking regarding sources of information and strengthen their life skills. The chosen approach to achieve these goals is to develop food education programs focused on Peer education. METHODS To collect the necessary data, Focus groups have been run in November 2017, in \"Da Vigo Nicoloso High School\" in Rapallo (Genoa). A random selection of participants, within homogeneous groups (ages 13-14 and 17-18), has been applied. RESULTS Eating choices among teenagers represent a strong element of identity. Sharing experiences produces consequences on individual and collective tastes. Awareness in young people regarding correct food choices grows with increasing age; so does sensitivity to being conditioned by interpersonal relationships and messages conveyed through the mass media. CONCLUSIONS It is advisable to develop education programs, specifically aimed at individuals in the age range 13-18. This will both develop their skills in the field of food awareness, and it will enable them to become the source of positive influences within their families and among their acquaintances. NURSING IMPLICATIONS Nurse plays a fundamental role as an active subject in this field of primary prevention, transmitting knowledge to the recipients, coordinating with other professional figures (psychologists/professional educators).","PeriodicalId":34911,"journal":{"name":"Professioni infermieristiche","volume":"74 4 1","pages":"263"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71303603","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Valentina Tommasi, Giulia Vercesi, P. Sannino, Barbara Bassola, L. Plevani, Silvia Cilluffo, M. Lusignani
INTRODUCTION Literature reports that the use of Standardized Nursing Terminology contributes to a better implementation of nursing care and patients' safety and to do research. ICNP is an international and combinatorial standard terminology proposal by ICN, adaptable to different settings, among which paediatric and neonatal. METHODS A literature review on different databases (Medline/Pubmed, CINAHL, Embase, Web of Science and Scopus) was conducted to investigate the use of ICNP in professional practice in paediatric and neonatal settings. RESULTS 44 papers were included in the review; 33 of which focused on the paediatric setting while 11 on the neonatal setting. It is evident ICNP is usable in both settings, permitting to describe nursing care to different age groups, in-hospital, out-of-hospital and in specific clinical situations. DISCUSSION ICNP is up to the task of describing nursing care, implementing nursing care plans, analysing types of nursing care for management aims, studying concepts or specific pediatric or neonatal situations. ICNP is adaptable to different nursing frameworks and models. Few studies analyses ICNP implementation or effectiveness in clinical settings. Additional research is needed to verify ICNP effectiveness in paediatric and neonatal settings and to implement contextual catalogues.
文献报道，标准化护理术语的使用有助于更好地实施护理和患者的安全，并进行研究。ICNP是ICN提出的一项国际组合标准术语提案，适用于不同的环境，其中包括儿科和新生儿。方法对不同数据库(Medline/Pubmed、CINAHL、Embase、Web of Science和Scopus)进行文献综述，调查ICNP在儿科和新生儿专业实践中的使用情况。结果共纳入44篇论文;其中33项针对儿科，11项针对新生儿。显然，ICNP在这两种情况下都是可用的，允许对不同年龄组、院内、院外和特定临床情况的护理进行描述。icnp的任务是描述护理，实施护理计划，分析管理目标的护理类型，研究概念或特定的儿科或新生儿情况。ICNP适用于不同的护理框架和模式。很少有研究分析ICNP在临床环境中的实施或有效性。需要进一步的研究来验证ICNP在儿科和新生儿环境中的有效性，并实施相关目录。
{"title":"[The use of International Classification for Nursing Practice (ICNP) in pediatric and neonatal settings: literature review].","authors":"Valentina Tommasi, Giulia Vercesi, P. Sannino, Barbara Bassola, L. Plevani, Silvia Cilluffo, M. Lusignani","doi":"10.7429/pi.2021.744195","DOIUrl":"https://doi.org/10.7429/pi.2021.744195","url":null,"abstract":"INTRODUCTION Literature reports that the use of Standardized Nursing Terminology contributes to a better implementation of nursing care and patients' safety and to do research. ICNP is an international and combinatorial standard terminology proposal by ICN, adaptable to different settings, among which paediatric and neonatal. METHODS A literature review on different databases (Medline/Pubmed, CINAHL, Embase, Web of Science and Scopus) was conducted to investigate the use of ICNP in professional practice in paediatric and neonatal settings. RESULTS 44 papers were included in the review; 33 of which focused on the paediatric setting while 11 on the neonatal setting. It is evident ICNP is usable in both settings, permitting to describe nursing care to different age groups, in-hospital, out-of-hospital and in specific clinical situations. DISCUSSION ICNP is up to the task of describing nursing care, implementing nursing care plans, analysing types of nursing care for management aims, studying concepts or specific pediatric or neonatal situations. ICNP is adaptable to different nursing frameworks and models. Few studies analyses ICNP implementation or effectiveness in clinical settings. Additional research is needed to verify ICNP effectiveness in paediatric and neonatal settings and to implement contextual catalogues.","PeriodicalId":34911,"journal":{"name":"Professioni infermieristiche","volume":"74 4 1","pages":"195-204"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71303948","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
BACKGROUND During the Covid-19 pandemic, the family presence in hospital was reduced, or excluded, to limit the contagiousness, but that could impact negatively on the quality of communication, family education, and the best development outcome for the newborn. AIM This study aims to explore and describe if and how the pandemic influenced the relationship and care provided to the family in NICU (Neonatal Intensive Care Unit). METHODS This is a descriptive qualitative study. The data were collected through a questionnaire and semi-structured interviews with 7 NICU nurses from different Italian Regions in the period June-August 2021, by snowball sampling. Thematic analysis by Braun and Clarke method was conducted. RESULTS The data show an overview of the hospitals' choices about parents' access to NICUs, from total to partial closure. The thematic analysis revealed how some nurses have boycotted corporate choices in favor of child's and family's well-being, while others have consolidated the idea that NICUs must remain closed. Moreover, nurses report that they standardized their practice rather than individualize care. CONCLUSIONS The Covid-19 limitations created many inconveniences and negatively impacted the quality of the care provided, as the safety of the discharge of these fragile patients. NURSING IMPLICATIONS It is important to evaluate how this situation impacts long-term patient outcomes, but also how some organizational decisions influence the well-being of professionals, who facing difficult choices, during a health emergency. This study aims to give leadership data to understand the value that the family has in the care process in NICU and that parents cannot be considered "visitors".
{"title":"Impact of COVID-19 on the parent-nurse relationship in NICU: a phenomenological study of nurses lived experience.","authors":"Roberto Sabatini, N. Dasso","doi":"10.7429/pi.2021.744273a","DOIUrl":"https://doi.org/10.7429/pi.2021.744273a","url":null,"abstract":"BACKGROUND During the Covid-19 pandemic, the family presence in hospital was reduced, or excluded, to limit the contagiousness, but that could impact negatively on the quality of communication, family education, and the best development outcome for the newborn. AIM This study aims to explore and describe if and how the pandemic influenced the relationship and care provided to the family in NICU (Neonatal Intensive Care Unit). METHODS This is a descriptive qualitative study. The data were collected through a questionnaire and semi-structured interviews with 7 NICU nurses from different Italian Regions in the period June-August 2021, by snowball sampling. Thematic analysis by Braun and Clarke method was conducted. RESULTS The data show an overview of the hospitals' choices about parents' access to NICUs, from total to partial closure. The thematic analysis revealed how some nurses have boycotted corporate choices in favor of child's and family's well-being, while others have consolidated the idea that NICUs must remain closed. Moreover, nurses report that they standardized their practice rather than individualize care. CONCLUSIONS The Covid-19 limitations created many inconveniences and negatively impacted the quality of the care provided, as the safety of the discharge of these fragile patients. NURSING IMPLICATIONS It is important to evaluate how this situation impacts long-term patient outcomes, but also how some organizational decisions influence the well-being of professionals, who facing difficult choices, during a health emergency. This study aims to give leadership data to understand the value that the family has in the care process in NICU and that parents cannot be considered \"visitors\".","PeriodicalId":34911,"journal":{"name":"Professioni infermieristiche","volume":"74 4 1","pages":"273"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71304438","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Maria Filomena Speltri, Marco Vaselli, S. Baratta, Maila Lazzarini, M. Baroni, A. Ripoli, T. Bellandi
INTRODUCTION The handover has relevant implications in terms of patient safety. An effective handover requires the use of a standardized and shared communication tool. AIM This observational study explored the nursing handover at shift change in order to detect eventual omissions. Furthermore, it investigated the quality perceived by the nurses involved. METHOD At each shift change, an external observer detected the referred and omitted information by the delivering nurse, through the use of a direct observational grid (modified ISBAR). The percentage of the omitted information was calculated excluding any unforeseen information, not linked to the patient care pathway and detected through the consultation of the nursing record. The quality perceived by the nurses involved was investigated through the use of the Handoff CEX tool. The data was processed through a descriptive and inferential statistical analysis. RESULTS 256 handovers were observed and 256 nursing records were reviewed. The omissions were detected in 43.17% of the cases. The results highlight a propensity for a prospective approach. A high statistical significance emerges in relation to the modality of handover, the type of patient, the nurse/patients ratio and the number of interruptions. Referring to the perceived quality, 40 Handoff CEX evaluation forms were completed. The results show a more than satisfactory perception. However, the thematic analysis highlights scarcely detailed and dispersive handovers as well as the difficulty to focus on the information to deliver. CONCLUSION According to the findings of this research, it is necessary to implement a standardized tool which supports the handover process.
{"title":"[Nursing handover: an observational study at the inpatient wards - cardiothoracic department].","authors":"Maria Filomena Speltri, Marco Vaselli, S. Baratta, Maila Lazzarini, M. Baroni, A. Ripoli, T. Bellandi","doi":"10.7429/pi.2021.744230","DOIUrl":"https://doi.org/10.7429/pi.2021.744230","url":null,"abstract":"INTRODUCTION The handover has relevant implications in terms of patient safety. An effective handover requires the use of a standardized and shared communication tool. AIM This observational study explored the nursing handover at shift change in order to detect eventual omissions. Furthermore, it investigated the quality perceived by the nurses involved. METHOD At each shift change, an external observer detected the referred and omitted information by the delivering nurse, through the use of a direct observational grid (modified ISBAR). The percentage of the omitted information was calculated excluding any unforeseen information, not linked to the patient care pathway and detected through the consultation of the nursing record. The quality perceived by the nurses involved was investigated through the use of the Handoff CEX tool. The data was processed through a descriptive and inferential statistical analysis. RESULTS 256 handovers were observed and 256 nursing records were reviewed. The omissions were detected in 43.17% of the cases. The results highlight a propensity for a prospective approach. A high statistical significance emerges in relation to the modality of handover, the type of patient, the nurse/patients ratio and the number of interruptions. Referring to the perceived quality, 40 Handoff CEX evaluation forms were completed. The results show a more than satisfactory perception. However, the thematic analysis highlights scarcely detailed and dispersive handovers as well as the difficulty to focus on the information to deliver. CONCLUSION According to the findings of this research, it is necessary to implement a standardized tool which supports the handover process.","PeriodicalId":34911,"journal":{"name":"Professioni infermieristiche","volume":"74 4 1","pages":"160-165"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71303583","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
BACKGROUND The evaluation of signs and symptoms in cancer patients has to be realized by validated screening tools, such as the ESAS scale that is considerend by scientistists an appropriate instrument. AIM I conducted an observational study. The primary objective of my study was to describe the nurses' attitude towards the ESAS questionnaire. The secondary objective was to assess the level of agreement between the compilation of the ESAS by the nurse and by the patient. METHODS I prepared a questionaire with eleven items for the nurses in order to understand their attitude forward the ESAS scale. Secondly, I administered the ESAS scale to the cancer patients and the nurses also completed the scale; they answered using their knowledges about the patients. RESULTS 12 nurses took part to my project. For each question at least one nurse answered "completely in agreement" and no one answered "disagreement" or "completely disagreement". Furthermore, a significant difference between the answers gave by the nurses and the answers gave by the patients is present for 5 symptoms of the ESAS scale: pain, tiredness, drowsiness, nausea, shortness of breath. For the other symptoms (depression, anxiety, appetite and wellbeing) I didn't find significant differences. CONCLUSIONS The evaluation of signs and symptoms in cancer patients is an activity of primary importance as it is able to significatly improve the quality of life and the therapeutic results. NURSING IMPLICATIONS nurses must take responsibility in order to promote and protect the health of cancer patients.
{"title":"Nurses' attitutudes about the ESAS scale in oncology: cross sectional observational study.","authors":"Caterina Dondi, Tania Buttiron Webber","doi":"10.7429/pi.2021.744265a","DOIUrl":"https://doi.org/10.7429/pi.2021.744265a","url":null,"abstract":"BACKGROUND The evaluation of signs and symptoms in cancer patients has to be realized by validated screening tools, such as the ESAS scale that is considerend by scientistists an appropriate instrument. AIM I conducted an observational study. The primary objective of my study was to describe the nurses' attitude towards the ESAS questionnaire. The secondary objective was to assess the level of agreement between the compilation of the ESAS by the nurse and by the patient. METHODS I prepared a questionaire with eleven items for the nurses in order to understand their attitude forward the ESAS scale. Secondly, I administered the ESAS scale to the cancer patients and the nurses also completed the scale; they answered using their knowledges about the patients. RESULTS 12 nurses took part to my project. For each question at least one nurse answered \"completely in agreement\" and no one answered \"disagreement\" or \"completely disagreement\". Furthermore, a significant difference between the answers gave by the nurses and the answers gave by the patients is present for 5 symptoms of the ESAS scale: pain, tiredness, drowsiness, nausea, shortness of breath. For the other symptoms (depression, anxiety, appetite and wellbeing) I didn't find significant differences. CONCLUSIONS The evaluation of signs and symptoms in cancer patients is an activity of primary importance as it is able to significatly improve the quality of life and the therapeutic results. NURSING IMPLICATIONS nurses must take responsibility in order to promote and protect the health of cancer patients.","PeriodicalId":34911,"journal":{"name":"Professioni infermieristiche","volume":"74 4 1","pages":"265"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71303668","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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