Professioni infermieristiche最新文献

{"title":"Prevalence of Post Traumatic Stress Disorder, Anxiety and Depression among COVID-19 survivors 1 year after Intensive Care discharge.","authors":"V. Damico, L. Murano, Mauro Teli, V. Margosio, C. Ripamonti, G. Nattino","doi":"10.7429/pi.2021.744264a","DOIUrl":"https://doi.org/10.7429/pi.2021.744264a","url":null,"abstract":"BACKGROUND Survivors of Intensive Care are known to be at increased risk of developing longer-term psychopathology issues. AIM The aim of this study was to determine the prevalence of posttraumatic stress disorder, anxiety and depression among COVID-19 survivors 1 year after discharge from an Italian Intensive Care Unit (ICU). METHODS We conducted a cross-sectional study between April and August 2021 among 86 adults COVID-19 survivors in Lecco (Italy). The PTSD was measured using the PTSD-checklist (PCL), HADS scale was used to measure anxiety and depression. Chi-square test or Fisher exact two-tailed tests were used to test for associations and the multiple logistic regressions model to determine factors that were independently associated with the outcome variables. RESULTS The mean PTSD, anxiety and depression scores were (38.6   6.3), (5.1   3.8), (6.9   3.7) respectively. Based on cut-off scores, the prevalence of PTSD (PCL ≥ 45), anxiety (HADs score ≥ 8) and depression (HADs score ≥ 8) were (n = 20, 23.2%) (n = 22, 25.6%) and (n = 38, 44.2%) respectively. COVID-19 survivors who experienced a decreased level of exercise post-ICU discharge were more likely to show symptoms of depression (AOR = 2.57; 95%CI: 1.31-6.85, p = 0.027) and anxiety (AOR = 3.19; 95%CI: 1.29-8.32, p = 0.021) compared to those whose exercise remained the same post-ICU discharge. In addition Older COVID survivors were more likely to show symptoms of depression (AOR = 8.2, 95% CI: 1.97-24.45, p = 0.001) and anxiety (AOR = 3.26; 95%CI: 1.12-8.1, p = 0.022) compared to younger ones. CONCLUSIONS Our findings show that PTSD, anxiety and depression are common among the COVID-19 survivors in Lecco. NURSING IMPLICATIONS Nurses play a key role in the public health response to such crises, delivering direct patient care and reducing the risk of exposure to the infectious disease.","PeriodicalId":34911,"journal":{"name":"Professioni infermieristiche","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71303648","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}

{"title":"Assessing patients' self-efficacy in Chronic Obstructive Pulmonary Disease: translation, content and face validation of the \"Understanding COPD Questionnaire\".","authors":"Giulia Paneri, Francesca Napolitano","doi":"10.7429/pi.2021.744271b","DOIUrl":"https://doi.org/10.7429/pi.2021.744271b","url":null,"abstract":"BACKGROUND Chronic Obstructive Pulmonary Disease (COPD) is a condition that badly influences patients' quality of life. The self-efficacy reached by educational programs is related to the patient's satisfaction, as active participation is fundamental to physical improvement and learning new skills. AIM To translate in Italian and assess the content and face validity of the \"Understanding COPD (UCOPD) Questionnaire\" pourposed by Dr. B. O'Neill in 2012. METHODS Once author's consent was gained, the forward Italian translation was independently performed by two native speakers. The reconciliated Italian version was then backward translated by two english speakers with comments, according to the \"European Organisation for Research and Treatment of Cancer quality of life\" guidelines. The final version was analyzed by experts to evaluate the level of relevance of each item using a 4-point Likert Scale. From these results we calculated the Item and Scale Content Validity Index (I-CVI; S-CVI). Subsequently, face validity was conducted by asking non-experts, using semi-structured interviews, if the survey was clear and easy to understand. RESULTS For the content validity analysis were enrolled 5 physicians, 4 nurses, 2 physiotherapists ). The survey showed a good level of content validity (S-CVI 0.90, I-CVI 0.63-1). The face validity analysis was conducted on 7 people affected by COPD. They declared to understand and clearly read all the items of the questionnaire. CONCLUSIONS The translated UCOPD Questionnaire was confirmed in its content and face validity. NURSING IMPLICATIONS Further perspectives are the use of the questionnaire to assess the level of self-efficacy and satisfaction in a cohort of Italian patients.","PeriodicalId":34911,"journal":{"name":"Professioni infermieristiche","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71304383","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}

{"title":"[Covid-19 and front-line nurses' mental health: a literature review].","authors":"Federico Ruta,&nbsp;Francesca Dal Mas,&nbsp;Helena Biancuzzi,&nbsp;Paolo Ferrara,&nbsp;Annalisa Della Monica","doi":"10.7429/pi.2021.741041","DOIUrl":"https://doi.org/10.7429/pi.2021.741041","url":null,"abstract":"<p><strong>Introduction: </strong>The Coronavirus (Covid-19) pandemic caused a severe health crisis that has affected millions of people and quarantined half of the world's population. The health emergency from Covid-19 has seen health workers on the front line face all the difficulties related to the burden of care and the reorganization of procedures, roles, and tools at the hospital level. One of the most significant and probably underestimated aspects is the psychological stress of frontline nurses. The article aims to analyze the literature relating to the impact on the mental health of nurses engaged in the management and care of Covid-19 patients.</p><p><strong>Methods: </strong>A systematic review of the published articles on the subject was conducted from January 2020 to November 2020. The search for papers was conducted on scientific databases like PubMed, Scopus and Embase.</p><p><strong>Results: </strong>The results show the onset of anxiety, depression and stress and insomnia in healthcare workers. These aspects are closely related to numerous factors, including the fear of contracting the disease and infecting family members, stressful shifts and little rest, leading to a state of psychological and physical tension capable of activating pathological behaviours. The literature highlights the importance of support interventions for frontline personnel to avoid the onset of psycho-pathophysical severe problems.</p><p><strong>Conclusion: </strong>The review suggests that frontline nurses during the emergency phase of Covid- 19 may be prone to psychological disorders that can compromise mental health. Therefore, the surveillance and monitoring of symptoms, together with targeted support interventions, should be guaranteed daily to all professionals involved to prevent the onset of psychological disorders.</p>","PeriodicalId":34911,"journal":{"name":"Professioni infermieristiche","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39063825","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}

{"title":"[Pre and post natal care and new organizational models during COVID-19 pandemic: the experience of the Autonomous Province of Trento].","authors":"Francesca Zambri, Francesca Zambri, Caterina Masè, Vanda Chiodega, R. Brolis, Simona Sforzini, A. Giusti","doi":"10.7429/pi.2021.744235","DOIUrl":"https://doi.org/10.7429/pi.2021.744235","url":null,"abstract":"The COVID-19 pandemic had a great impact on pre and post-natal care, and, more generally, on the female population. Health services have been characterized by significant changes that have involved a review and reorganization of care pathways and clinical practices. The midwife continued to play a key role for the health of women and children, for the continuity of care and for a health-oriented approach throughout their life. The experience of the Pre and Post Natal Care of the Autonomous Province of Trento ensured the continuity of care during the pandemic thanks to the activation of a well-established Hospital-Territory network. The dedicated Case Manager Midwife allowed continuity and appropriateness of care during all phases of the birth pathway. The possibility of having the first interview electronically led to a continuous annual increase in the first interviews. In addition, for all women in the third trimester of pregnancy, the antenatal classes are organized remotely, using simple IT supports, in videoconferencing mode, maintaining homogeneous contents and objectives throughout the territory. The involvement of fathers from the early stages of pregnancy has shown the value of co-parenting even during the pandemic. This organizational model rooted in the territory and in the network of connection between the Territory and the Hospital proved to be a resource to withstand the impact of the emergency and guaranteed appropriate and timely assistance to women, fathers and the family.","PeriodicalId":34911,"journal":{"name":"Professioni infermieristiche","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71303619","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}

{"title":"Workplace well-being of Advanced Practice Nurses and patient outcomes.","authors":"Alexandra Do Nascimento Do Nascimento, Oscar Testa, A. Ricotti, S. Bagnato, Elga Ghironi","doi":"10.7429/pi.2021.744264b","DOIUrl":"https://doi.org/10.7429/pi.2021.744264b","url":null,"abstract":"BACKGROUND Workplace well-being has been defined as a state of pleasure in doing your own job. Work engagement is an effective indicator to measure workplace well-being. AIM To investigate the level of work engagement among the Advanced Practice Nurses and describe patient outcomes. METHODS A survey based on Utrecht Work Engagement Scale-17 (ranging 0-6) was administered to 11 Advanced Practice Nurses; data were collected in August 2021. Different outcomes were detected: incidence of pressure ulcers in COVID 19 patients; postoperative issues; number of cornea donations in eligible patients (from 2017 to 2020); number of preoperative stoma site marking. RESULTS The results showed a median age of 48 [41-52] years, most of the partecipants were women (63.64%). Advanced Practice Nurses showed high levels of engagement as a whole (5.18 0.30) and on vigor (4.91 0.82), dedication (5.51 0.80) and absorption categories (5.12 0.68). 360 patients with COVID-19 were observed and only 17 of them (4,5%) had Pressure Ulcers (density incidence: 2,72ulcers/1000 patients day). Intervention by case manager completely solved the patient's problem in 10 cases (71.43%) during the postoperative period. A 13% increase in corneal donations was observed in eligible patients from 2017 to 2020. Preoperative stoma site marking was present in 103 (99.3%) of eligible patients. CONCLUSIONS Advanced Practice Nurses present high levels of work engagement. Outcome results are coherent with the literature; a high level of work engagement seems to correlate with better patient outcomes. NURSING IMPLICATIONS Postgraduate nursing training improves clinical outcomes for patients and process indicators. Healthcare organizations management should value workplace well-being of their Advanced Practice Nurses.","PeriodicalId":34911,"journal":{"name":"Professioni infermieristiche","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71303655","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}

{"title":"Retaining newly Registered Nurses in the profession.","authors":"R. Watson","doi":"10.7429/pi.2021.744255b","DOIUrl":"https://doi.org/10.7429/pi.2021.744255b","url":null,"abstract":"INTRODUCTION Newly qualified nurses (NQNs) are one group at risk of early exit from the workforce. There is a need to reinforce the 'flaky bridge' (Health Education England [HEE] 2018) and ease 'transition shock' to facilitate NQN retention. AIMS (1) establish the current state of the art in the UK for nurse retention and transition from student to Registered Nurse; (2) provide UK healthcare organisations, higher education institutions and individual nurses with an evidence-based approach to plan for successful transition; (3) develop an evidence-based toolkit that enables NQNs and their employers to identify, implement and evaluate an individualised approach to transition. METHODS A rapid evidence assessment (REA) of NQN transition and retention was undertaken followed by 40 interviews with final year nursing students, NQNs, clinical leaders and academics and 113 written reflections from final year nursing students captured qualitative data on transition. A 'transition toolkit' was developed and used with one group of students (n=75) and data on retention and employment captured to determine impact on the number of nurses retained at the end of 12 months. RESULTS A variety of formal and informal approaches that enhance and support transition were identified by the REA including having a formal orientation period; the initial placement; satisfaction with the unit and clinical supervision; empowerment; pre-registration employment; and low stress levels having had previous experience in the unit. Preceptorship was found to significantly increase NQNs competence, though no firm conclusions could be reached regarding the impact on retention. Qualitative data suggested that NQNs still experience transition shock and support during the transition period was important. Quantitative data indicated that most NQNs were employed full-time and working in local NHS hospitals. Most had undertaken employment during their programme and when qualified had not changed employer or role and did not plan to change. In the post-intervention group, most had engaged with the STaR project material and had accessed their place of first employment through the project. There were no statistically significant differences between cohorts, and no statistically significant relationships among the data. CONCLUSION A supportive framework incorporating supernumerary status, preceptorship or equivalent, peer and organisational culture of support can help to ensure a smooth, seamless and comfortable transition. The link between NQN support and retention remains poorly evidenced.","PeriodicalId":34911,"journal":{"name":"Professioni infermieristiche","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71303732","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}

{"title":"Being listened to is good: for the nurse and for the profession.","authors":"Carmelo Gagliano, Maria Banchero, Alessandro Cataldo, M. Galán, Bruna Crepaldi, Maura De Ferrari, Carolina Damasio, Patrizia Guastapane","doi":"10.7429/pi.2021.744267a","DOIUrl":"https://doi.org/10.7429/pi.2021.744267a","url":null,"abstract":"","PeriodicalId":34911,"journal":{"name":"Professioni infermieristiche","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71303778","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}

{"title":"Nursing competence in CRRT: creation and validation of a measurement tool.","authors":"Elena Calabrese, Maria Emma Musio","doi":"10.7429/pi.2021.744262a","DOIUrl":"https://doi.org/10.7429/pi.2021.744262a","url":null,"abstract":"BACKGROUND Acute Renal Failure is an essential condition frequently encountered in intensive care units and requires targeted treatment. The nursing team must be adequately trained in the management of the patient undergoing CRRT. AIM To build and validate the CRRT-MCT (Continuous Renal Replacement Therapy -Measurement Competency Tool), which aims to measure nursing competence in managing patients undergoing renal replacement techniques. METHODS The most current guidelines for CRRT techniques were used to create an instrument to measure nursing competence. A pool of 10 experts evaluated this instrument. The pilot study examined content and face validity. Test-retest reliability with r-Person correlation and internal consistency reliability with Crombach's was assessed. RESULTS The CRRT-MCT achieved good content and face validity (S-CVI= 0.96; I-CVI=70%-100%), good internal consistency reliability (Crombach's = 0.83). Two hundred and forty nurses employed in intensive care units did pilot testing and test-retesting. The t-test showed no significant difference between test and retest results, confirming the stability of the tool (Pearson's r = 0.984) CONCLUSIONS: The instrument assesses nursing competence concerning CRRT techniques in the ICU and is valid, reliable and understandable. NURSING IMPLICATION The creation and validation of this tool enables nurses to understand their level of competence for the care of patients undergoing CRRT with the ultimate aim of becoming aware of their gaps and undertaking training to fill them to provide the best possible nursing care.","PeriodicalId":34911,"journal":{"name":"Professioni infermieristiche","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71303976","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}

{"title":"Children and Youths' Perception of Food: An Evolutionary Concept Analysis.","authors":"Giulia Ottonello, Franco Carnevale","doi":"10.7429/pi.2021.744270b","DOIUrl":"https://doi.org/10.7429/pi.2021.744270b","url":null,"abstract":"BACKGROUND Children's and adolescents' food experiences are inadequately understood. A concept analysis is needed to help advance a conceptual definition of children and adolescents' perception of food. AIM This work aims to clarify the concept of food perception among children and adolescents following Rodgers's evolutionary method for concept analysis. METHODS A search on two databases, CINAHL and PubMed, was conducted between October 2020 and April 2021. The key search terms used were: perception, awareness, recognition, child, adolescent, food, nutrition. Inclusion criteria were: English language, scholarly/peer-reviewed articles published between 2000 and 2020, studies of children and adolescents' perceptions of food using qualitative or quantitative or mixed methods. A total of fifteen articles that met the inclusion criteria were analyzed. The coding process and thematic analysis followed the phases of Rodgers's Evolutionary Method. Thematic analysis revealed common themes related to the concept, attributes, antecedents, and consequences. RESULTS Four attributes were identified, including food taste and appearance, availability, cost and convenience, time effort and nutritional value. The antecedents are parental, social, emotional, and cognitive development influences. The consequences include adequate nutrition, healthy lifestyle, growth, and malnutrition. CONCLUSIONS This is the first study exploring the concept of food perceptions among children and adolescents, examining the key elements that determine and influence this concept including the influences of culture. NURSING IMPLICATIONS Further studies exploring the use of this concept among other disciplines and specific clinical settings are needed to allow nursing researchers to perform more tailored and valuable future interventions around this topic and this population.","PeriodicalId":34911,"journal":{"name":"Professioni infermieristiche","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71304511","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}

{"title":"Working wellbeing between new employees and expert nurses.","authors":"Carmelo Gagliano, Federica Putzu, Alessandro Cataldo, Arianna Ottonello, Federica De Muti, Giacomo Robello, Marina Calabro', Martina Frasca, Mauro De Ferrari, Sonia Ricciu","doi":"10.7429/pi.2021.744267b","DOIUrl":"https://doi.org/10.7429/pi.2021.744267b","url":null,"abstract":"INTRODUCTION The human factor represents a fundamental element in health care processes and influences the result; never as between 2019 and 2020 has such a large number of new hires been introduced in the various public and private companies for social and health assistance. In this context, a fact-finding survey was conducted by the Decentralization Commission of Opi Genova in the months of June and July. The aim was to measure organizational health in terms of variables depending on the relationship between colleagues with different professional experience. METHODS To conduct the survey, a structured interview was conducted with the nursing staff on work well-being and the relationship between professionals with a sample of nurses operating in different types of health organizations in Genoa. RESULTS The results of the survey generally show the presence of stress and fatigue in all structures considered mainly due to the emotional burden of the months of the pandemic. Professional integration and general satisfaction were found in all types of structures considered. Some dimensions such as climate essentially depend on each individual case and on the personal character component of each individual. The quantitative results were represented by graphs and the qualitative results by word clouds. CONCLUSIONS To fulfill their role it is necessary that operators are satisfied and motivated within the organization in which they operate. It is therefore necessary that all operators are satisfied and satisfied by the emotional context in which they are inserted.","PeriodicalId":34911,"journal":{"name":"Professioni infermieristiche","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71303812","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}