Professioni infermieristiche最新文献

{"title":"The impact of Continuing Professional Development on nurses' wellbeing and satisfaction.","authors":"T. Kearns","doi":"10.7429/pi.2021.744256b","DOIUrl":"https://doi.org/10.7429/pi.2021.744256b","url":null,"abstract":"INTRODUCTION The European Centre of Excellence for Research in Continuing Professional Development (CPD) aims to develop a pan-European network of researchers, clinicians, regulators, and professional bodies to advance the science of CPD through research and foster knowledge exchange to promote best practices in CPD that can be translated across Europe. Currently, the Centre has members from 22 European countries. Three research-working groups have been established to develop key activities into CPD: 1) Evaluating the impact of CPD; 2) Digital Pedagogies for CPD; 3) The economics of CPD. One of its research activities focuses on exploring CPD needs of newly qualified nurses and midwives (NQNMs) and the impact on their \"Intention to leave\" and \"Job satisfaction\". However, information about the range and extent of CPD activities NQNMs participate in during the first 24 months following graduation is limited. It is also not well known how NQNMs' participation in CPD activities is associated with job satisfaction and intention to leave the organisation or the profession. AIM To develop a better understanding of the CPD needs of NQNMs and explore the impact on NQNMs' job satisfaction and intention to leave. METHODS A cross-sectional study using an online survey in four European countries: Ireland, UK, Italy, and Croatia. SAMPLE 2254 NQNMs. The questionnaire was developed using three validated sources: 1. The Q-PDN measures \"motives\", \"conditions\" and \"importance\" given to CPD and \"CPD activities undertaken\" by nurses. 2. The McCloskey/Mueller Satisfaction Scale (MMSS) assesses nurses' job satisfaction. 3. Four questions on Intention to leave current workplace (e.g., ward), organisation, or the nursing profession, adapted from Heinen et al. (2013). The last open-ended question, developed by the RCSI research team, asks the main motivation for leaving the profession. RESULTS Data collection will start by the end of September 2021. Expected outcomes are: 1) Create a database to inform a further pan-European wide survey of NQNMs and their CPD needs and 2) Provide recommendations to regulators, healthcare providers and policy makers about the CPD needs of NQNMs and factors associated with job satisfaction and Intention to Leave. CONCLUSIONS Previous research into CPD demonstrates its potential to improve job satisfaction and retention. Likewise, there is evidence that it is important to support NQNMs through appropriately designed CPD programs. The present European study intends to contribute to the scientific knowledge base on CPD needs and its impact on job satisfaction and retention in NQNMs.","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":"71303759","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":"Patterns and trends of nurses' well-being and patient outcomes in the Journal of Nursing Management.","authors":"F. Timmins","doi":"10.7429/pi.2021.744257","DOIUrl":"https://doi.org/10.7429/pi.2021.744257","url":null,"abstract":"The aim of this presentation is to provide a brief overview of general patterns and trends in publications in the Journal of Nursing Management with a focus on nurses' well-being and patient outcomes in the Journal of Nursing Management and to suggest ways in which this information could be utilised to inform the future strategic direction of and future research and publications within this topic. A search within the Scopus database (August 2021) revealed that there have been 2,911 publications in Journal of Nursing Management since it's foundation in 1993. Most of these papers are research articles (80%% n=2,343), predominantly from countries with English fluency. A search within Journal the using the CINAHL database (August 2021) using key search terms related to nurses, wellbeing, patient outcomes and patient satisfaction revealed 57 papers concerned, broadly speaking, with nurses' well-being. Two further papers were identified that related to nurses' well-being and patient satisfaction and one that explored well-being and patient outcomes. However, none of these three later papers explored the relationship between nurses' well-being and patient outcomes or satisfaction in any meaningful way, rather the discussion related to both concepts (outcomes and satisfaction) was broadly discussed, alluding to a relationship but not providing any concrete evidence of this. Emerging themes within the 57 papers were as follows: sources and effects of dissatisfaction and stress among nurses; effects of COVID; influencing factors; supportive factors and values-based leadership. Two approaches to measurement of nurse well-being were noted, a demand-support-control model (Alfaro-Díaz et al 2020) and the Warwick-Edinburgh Mental Well-being Scale (Cilar et al 2020). The findings also revealed that discussions on this topic within the Journal took place in the last two decades, with the first paper emerging in 2001. The majority of papers were published in the last 5 years. Nurses' well-being was generally not referred to specifically, but rather explored and/or discussed within the context of satisfaction/dissatisfaction and/or stress.","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":"71303851","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":"[Investment in nursing and respect rights: if not now when?]","authors":"W. De Caro","doi":"10.7429/pi.2021.74194","DOIUrl":"https://doi.org/10.7429/pi.2021.74194","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":"71303917","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 Professional Identity: A Cross-Sectional Study.","authors":"Valentina Pizziconi, Giuliana D'Elpidio, Cristina Calandrella, Andrea Gazzelloni","doi":"10.7429/pi.2021.744269b","DOIUrl":"https://doi.org/10.7429/pi.2021.744269b","url":null,"abstract":"BACKGROUND Becoming a good nurse is a mandatory goal for each nurse and a daily challenge. Nurses have the responsibility to maintain the highest level of professional integrity and quality not only to protect patients and their families but also to positively influence nursing students. In fact, students learn how to become good nurses if they really experience that from all nurses they meet during their training. It could be useful to take a \"general picture\" of nurses who work every day into our hospitals. AIM To evaluate the level of nursing professional identity. METHODS A cross-sectional study was designed. An anonymous structured questionnaire was administered to nurses in a hospital Rome. RESULTS 334 nurses participated and they were mainly female (80%); mean age: 37.11ys (SD 8.49); 15.87% had health professionals in family, and nursing profession was the first choice for the 72.16%; 93.71% had family support. In nursing profession, empathy and both human and technical requirements were important for more than 94.91%. 84.73% would repeat the nursing choice, and 79.64% would recommend that. Only 64.97% was satisfied about their profession. CONCLUSIONS Nursing profession is a controversial profession, with motived and passionate professionals but still unsatisfied. Professional identity is a delicate and complex topic, and an essential part that consistently influences the personal attitude to reach the best nursing practice. NURSING IMPLICATIONS Professional identity is one of the first aspects to take into account to better understand in which way nurses could influence colleagues, patients and their families, and finally nursing students during their daily practice.","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":"71304333","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":"[2020, Year of nurses and Year of COVID-19].","authors":"Walter De Caro","doi":"10.7429/pi.2020.734225","DOIUrl":"https://doi.org/10.7429/pi.2020.734225","url":null,"abstract":"","PeriodicalId":34911,"journal":{"name":"Professioni infermieristiche","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25528102","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":"Prevalence and characteristics of chronic pain in survivors of critical illness and impact on daily life and treatment practices.","authors":"Vincenzo Damico,&nbsp;Mariangela Vanalli,&nbsp;Liana Murano","doi":"10.7429/pi.2020.734288","DOIUrl":"https://doi.org/10.7429/pi.2020.734288","url":null,"abstract":"<p><strong>Aim: </strong>The aim of this study was to evaluate the prevalence and characteristics of Chronic Pain (CP) in survivors of critical illness. The secondary objective was to evaluate the impact of CP on an individual's quality of life and unveiling current pain treatment practices.</p><p><strong>Methods: </strong>This study was a cross-sectional survey. Twelve months after intensive care discharge, patients were contacted for an interview. Two questionnaires were administered (Brief Pain Inventory and Euroqol 5D instrument) to assess CP and quality of life. Data was obtained between 20 June and 20 December 2019.</p><p><strong>Results: </strong>118 patients participated in the study. An overall prevalence rate of 26.3% (n= 31) was found for CP in the study population. The highest prevalence of pain was observed in patients with 40-55 years (41.9%) (n= 13). The prevalence rate in males was 26.3%, similar compared to the rate in females (p=.99). The intensity of pain was similar among females (5.6) and males (5.8) (p=.35). Knees (15.3%), legs (12.7%) and minor joints (12.7%) were the most prevalent sites of pain. The perceived quality of life (EQ VAS) was 74.9 (+9.7) in patients without CP and 58.2 (+9.2) in patients with CP.</p><p><strong>Discussion: </strong>CP has significant negative consequences for patients. Thus, we want to emphasize the need to adopt a comprehensive and multidisciplinary approach to improving the patient's condition and circumstances, contemplating both pharmacological treatments and non-pharmacological measures.</p>","PeriodicalId":34911,"journal":{"name":"Professioni infermieristiche","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25530018","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":"[The waiting room experience in an Oncology - ematology Day Hospital: a qualitative investigation].","authors":"Ilaria Peschechera,&nbsp;Elena Garofalo,&nbsp;Daniele Girardi","doi":"10.7429/pi.2020.734244","DOIUrl":"https://doi.org/10.7429/pi.2020.734244","url":null,"abstract":"<p><strong>Introduction: </strong>\"What was once considered an incurable disease has in many cases become a disease that can be cured or, in any case, a disease patients can live with: It is becoming more and more frequently a chronic illness that allows affected people to have an active and satisfactory life\" (I numeri del cancro in Italia 2017, Associazione Italiana di Oncologia Medica). As such, the patient suffering from cancer needs important care, often undergoing daily hospitalization. At the same time, as the daily experience shows, waiting for blood withdrawal, oncology visit and therapy administration causes anxiety, stress and frustration that can compromise the quality of life and adherence to therapies. The aim of this survey is to investigate the experience of patients waiting their turn in the waiting room of an Oncology-Hematology Day Hospital in an Italian Cancer Center.</p><p><strong>Methods: </strong>The survey was conducted using a semi-structured interview with open and closed questions. Partecipants: We considered a convenience sample of 36 patients admitted to the Oncology -Hematology Day Hospital of a Milan Research Medical Center.</p><p><strong>Results: </strong>The analysis of the collected interviews shows that the waiting room experience involves a considerable number of sensations that can alter the psycho-physical balance of the patient. A prolonged waiting in an uncomfortable room is associated with negative emotions such as discomfort and fear.</p><p><strong>Conclusions: </strong>The achieved results show the need to make the waiting less stressful by paying particular attention to the various observed issues. In particular a more comfortable and adequate environment for different age groups can better respond to patient needs. Also, it is necessary to reduce the waiting room crowding, establishing defined paths and controlled accesses.</p>","PeriodicalId":34911,"journal":{"name":"Professioni infermieristiche","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25528554","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":"[School nurse in the restrain of pandemics and the re-opening school. An integrative review].","authors":"Milena Giovanna Guarinoni,&nbsp;Marco Lardelli,&nbsp;Paolo Carlo Motta","doi":"10.7429/pi.2020.734237","DOIUrl":"https://doi.org/10.7429/pi.2020.734237","url":null,"abstract":"INTRODUCTION\u0000School nurse is present today in many countries around the world. Its contribution within schools is described in the literature especially with regard to the management of chronic diseases and health education interventions. The Sars-CoV2 pandemic has forced many states to close schools, involving major psycho-social problems. The reopening of schools is a great challenge, in this regard this work has the goal of evaluating the literature that identifies the figure of the school nurse as a strength in containing the spread of contagious diseases and the actions that can be effective for this purpose.\u0000\u0000\u0000METHODS\u0000An integrative literature review was conducted by interrogating the main international medical-nursing databases, all research articles were included, editorials and letters were excluded. Results were screened independently by two investigators.\u0000\u0000\u0000RESULTS\u000010 articles were included, the main purpose of which was to describe outbreak cases and strategies for their management. The major nursing interventions highlighted are surveillance, case reporting, education, management of relationships with families, collaboration with other professionals.\u0000\u0000\u0000DISCUSSION\u0000Although the identified literature was quantitatively poor, it is clear that the school nurse is central to syndromic surveillance, educational role, decision making, clinical management, collaboration with the team of experts and management of communication.","PeriodicalId":34911,"journal":{"name":"Professioni infermieristiche","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25528553","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":"The Nurse Led of stroke patient after discharge from hospital. A Systematic Review and GRADE.","authors":"Maria Luisa Rega,&nbsp;Corrado De Vito,&nbsp;Margherita Ruberto,&nbsp;Valentina Grossi,&nbsp;Gianfranco Damiani","doi":"10.7429/pi.2020.734278","DOIUrl":"https://doi.org/10.7429/pi.2020.734278","url":null,"abstract":"<p><strong>Aim: </strong>Stroke is the second cause of death worldwide and the third cause of death in industrialized countries. To investigate the effectiveness of the nurse's role the management for people affected by stroke after discharge from hospital to home.</p><p><strong>Method: </strong>A systematic review was performed. The Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines was carried out. MEDLINE, CINAHL, Web of Science and Scopus were searched for studies on the effectiveness of the nurse's role in managing the stroke rehabilitation process after discharge from the home hospital from 2000 to June 2018 in English. The methodological quality was assessed by the Cochrane Collaboration's tool for assessing Risk of Bias (RoB). The GRADE system was used for evaluating evidence quality of each outcome.</p><p><strong>Results: </strong>7,025 studies were identified, 12 met the inclusion criteria. The outcomes in the literature are quality of life related to the degree of independence and depression, to the perception and health management and to the adaptation and stress tolerance. No primary outcome is reported in the literature with a high degree of confidence.</p><p><strong>Discussion: </strong>The nurse's role the management for people affected by stroke after discharge from hospital to home represent an effective strategy for an improvement in the functional outcome, quality of life and reduction of costs.</p>","PeriodicalId":34911,"journal":{"name":"Professioni infermieristiche","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25529034","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":"Prevalence and multicenter observational study on falls of hospitalized children and Italian, linguistic-cultural validation of the Humpty Dumpty Fall Scale.","authors":"Daniele Ciofi,&nbsp;Sara Albolino,&nbsp;Giulia Dagliana,&nbsp;Klaus Biermann,&nbsp;Angela Savelli,&nbsp;Gabriele Frangioni,&nbsp;Martina Fantoni,&nbsp;Carlotta Gheri,&nbsp;Stella Neri,&nbsp;Filippo Festini,&nbsp;Tuscan Pediatric Falls Collaborative Study Group","doi":"10.7429/pi.2020.734296","DOIUrl":"https://doi.org/10.7429/pi.2020.734296","url":null,"abstract":"<p><strong>Introduction: </strong>Falls in hospitals are a major problem also in pediatric settings. No Pediatric Fall Risk Assessment Scales (PFRAS) are validated in Italian.</p><p><strong>Goals: </strong>to perform the Italian validation of the Humpty-Dumpty Falls Scale (HDFS); to assess its predictive performance; to estimate the frequency of falls in hospitalized children and to analyze possible associations between children's clinical variables and falls.</p><p><strong>Methods: </strong>The study's first step was the cultural-linguistic validation of HDFS in Italian. Second, evaluation of the Italian HDFS's performance on 1500 hospitalized children. Third, modifications of the Italian HDFS to improve its performance. Fourth, analysis of falls frequency and associations between falls and patients' clinical variables.</p><p><strong>Results: </strong>The Italian HDFS (HDFS-ita) showed good Validity (SCVI=0.92) and inter-rater Reliability (Cohen's kappa=0.965), but poor Sensitivity (77.8%) and Specificity (36.6%). A new 3-item version of the HDFS-ita (HDFS-ita-M) was set, with a cut-off of 7, only for subjects 1 to 15 year-old. Although better, the HDFS-ita-M's performance remains poor (Sensitivity=77.8%, Specificity=53.3%, ROC curve's AOC=0.670). The frequency of pediatric falls was 6.38 per thousand children (CI95% 3.36-12.08) with a maximum frequency in children aged 3 to 6 years (11.28 per thousand children, CI95% 3.84-32.63). Motor/walking disorders (p=0.005), enuresis (p=0.0002), being in single room (p=0.04), admittance to pediatric neuropsychiatry/neurology wards (p=0.001), and neurological disorders (p=0.02) were associated to falls.</p><p><strong>Discussion: </strong>HDFS-ita-M has a better but still poor performance than HDFS-ita. This study provides useful data about pediatric falls and their possible risk factors which will help pediatric hospitals in determining patient safety policies. Further studies are needed to determine an adequate panel of variables to estimate pediatric falls risk.</p>","PeriodicalId":34911,"journal":{"name":"Professioni infermieristiche","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25530020","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}