Assistenza Infermieristica E Ricerca最新文献

. Community as learning opportunity for nursing students: The LaVàl. project of Val Chiusella.

Introduction: The new competencies required for Family and Community Nurses (FFCN) involve the ability to make a community diagnosis.

Aim: To describe the steps in designing an innovative internship for university students (nurses, anthropologists, educators, sociologists etc.).

Methods: After involving the municipalities, associations and local community networks, the students were asked to enter the community, keep a diary of what they had done and observed, and the nursing students were asked to produce a report based on the synthesis of the diaries, in which they would highlight the specific features, strengths, weaknessess and potentials for development of the observed community.

Results: As of 31 March 2022, 50 nursing students and 6 FFCN Master's students had thier practical training in addition to anthropology, sociology, geology an occupational therapist students. By 30 September 2022, 20 nursing students, 10 Master's and Master's degree students, are expected. 96 hours of interviews were carried out with local residents, meetings were held with 30 Associations and 40 events, meetings and assemblies, 12 meetings for Walking Groups, Adapted Physical Activity and Pilates, 70 hours of direct observation in the five pharmacies and 100 hours of debriefing, supervision and multidisciplinary discussion to rework and systematise the information acquired were conducted.

Conclusions: An innovative experience of training in making community diagnosia and projects for solutions for a community is feasible. However, both the organisational and local concertation prerequisites are necessary to make these experiences possible.

. At least a thanks: reflections on the new employment contract for nurses. The signing of the new work contract is an opportunity to take stock of what has been given, promised and actually received. The nurses' salary increase is limited, late, and is almost completely cancelled out by inflation. Though the current contract also offers some recognitions such as the institution of the so-called 'deputy manager', the payment for new and advanced responsibilities a salary increase for those who work in emergency services, it is not enough. There remains the problem of a nursing profession with a severe shortage, in which we need to invest not only from an economic perspective. The effort for the new contract must start now.

. The TeMP_cardio Model for the district management of heart failure patients: a feasibility study for the implementation of the family nurse.

Introduction: The need to enhance primary health nursing care and chronic disease management requires the development of complex and feasible models in local contexts.

Aim: To test the feasibility of a complex care model, based on the introduction of the family and community nurse for patients with stable heart failure and their caregivers.

Methods: A pre-post six-month feasibility study was conducted in 2021-2022 in the Autonomous Province of Trento. Patients with stable heart failure able to access services were taken in charge with a multidisciplinary model, with the nurse as care manager, and technological and telemonitoring support.

Results: 26 patients out of 137 were included and nine of their caregivers. Ten participants accepted to use the mobile app. Twenty-three patients and seven caregivers completed the study, and the app was used regularly by five participants. Self-care skills improved in patients, mostly in self-monitoring, less in caregivers. One access to the emergency department for heart failure exacerbation was detected.

Conclusions: The model was evaluated feasible to retain patients, with the need to build effective strategies for the recruitment, and the regular use of telemonitoring tools.

. A fever in a neutropenic patient during chemotherapy: case report with questions. Over the next 3 issues, we will publish a series of updates on some of the oncological emergencies. The updates are published in the form of a case, with multiple-choice questions to assess knowledge, a brief discussion of the answer, and the reference literature, to further explore the topic. The first case involves the management of febrile neutropenia.

. Experiences implemented during the Covid period in the Novara, Vercelli, Vallemaggia and Locarno areas.

Introduction: The Covid-19 pandemic promoted the organization of several initiatives for the elderly.

Aim: To map the local district initiatives for citizens >65 years active during the Covid pandemic in 3 districts of Piedmont and Ticino Canton.

Methods: The data were collected through interviews, contacting local Institutions, volunteer organisations and associations and through free research on the web and on institutional websites.

Results: The 26 interviews were conducted between August and September 2022: 16 in the Novara area, 4 in Vercelli and 6 in Canton Ticino. Forty-six initiatives were collected, mainly addressing social-healthcare needs, of which seven were already active in the pre-covid period; overall eight are still ongoing. The initiatives consisted of listening windows, home support (meals, shopping, face-masks, delivery of clean clothes to hospitalized patients). 31 were activated by public services with the collaboration of voluntary services.

Conclusions: The mapping of the initiatives showed their heterogeneity and the fundamental role of volunteering in guaranteeing the continuity of supporting services. These experiences should be consolidated over time by institutions and the public health service, enhancing the contribution of volunteers.