Paolo Ferrara, Armando D'Agostino, Stefano Terzoni, Edoardo Giuseppe Ostinelli, Simona Cavallotti, Clara Basi, Vincenzo Bertino, Orsola Gambini, Anne Destrebecq
{"title":"[Triple Chronotherapy approach for reducing depressive symptoms and suicidal intent in hospitalized patients: Study protocol of a Randomized Controlled Trial].","authors":"Paolo Ferrara, Armando D'Agostino, Stefano Terzoni, Edoardo Giuseppe Ostinelli, Simona Cavallotti, Clara Basi, Vincenzo Bertino, Orsola Gambini, Anne Destrebecq","doi":"10.7429/pi.2020.731026","DOIUrl":"10.7429/pi.2020.731026","url":null,"abstract":"<p><strong>Background: </strong>Depressive disorders are a relevant burden for public health due to their prevalence and high levels of associated disability and mortality. Recent studies suggest that the combination of multiple chronotherapuetic interventions may reveal effective in the rapid improvement of depressive symptoms.</p><p><strong>Objectives: </strong>This paper describes the protocol of a study that aims to test the efficacy of a triple chronotherapy intervention (combined total sleep deprivation, light therapy and sleep phase advance) in the improvement of depressive symptoms in individuals diagnosed with unipolar or bipolar depression.</p><p><strong>Methods: </strong>A randomized controlled trial will be conducted in patients hospitalized with a unipolar or bipolar depression at the Servizio Psichiatrico di Diagnosi e Cura inpatient unit of the San Paolo - ASST Santi Paolo e Carlo Hospital in Milan, Italy. Individuals will be randomly assigned to the intervention (triple chronotherapy add-on to standard pharmacological treatment) or to the \"control\" group (standard pharmacological treatment).</p><p><strong>Results: </strong>Enrolment began in December 2018 and will end in October 2020, or at any earlier point in which the expected sample size will be reached. The study protocol has already been approved by the local ethics committee and is registered as EudraCT 2019-000892-18. Outcome analyses aim to verify whether triple chronotherapy produces a rapid and stable improvement in depressive symptoms in individuals hospitalized for an acute unipolar or bipolar depressive episode.</p>","PeriodicalId":34911,"journal":{"name":"Professioni infermieristiche","volume":"73 1","pages":"21-25"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38092712","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}
Stefano Terzoni, Paolo Ferrara, Elena Sala, Anna Destrebecq, Noemi Trombetta
{"title":"[The Italian version of the Nurse Cultural Competence Scale: validation on a sample of Nursing students].","authors":"Stefano Terzoni, Paolo Ferrara, Elena Sala, Anna Destrebecq, Noemi Trombetta","doi":"10.7429/pi.2020.721011","DOIUrl":"https://doi.org/10.7429/pi.2020.721011","url":null,"abstract":"<p><strong>Introduction: </strong>Social complexity is growing, due to the current phenomenon of migration. Nurses are called to face this situation through development and consolidation of adequate cultural competence, to provide appropriate assistance to foreigner patients. Many tools and scales are routinely used worldwide to measure nurses' cultural competence, but in the Italian context neither theoretical models nor scales currently exist. The aim of this study is to validate in Italian the \"Nurse Cultural Competence Scale\" (NCCS), an assessment tool which measures the cultural competence level of nursing staff.</p><p><strong>Methods: </strong>The NCCS scale has been back translated and applied to a sample of nursing students of the San Paolo Hospital in Milan; the scale has been assessed for validity and reliability.</p><p><strong>Results: </strong>The tool shows satisfactory consistency (alfa=0.91), content validity (CVI=95.8) and factor structure (confirmatory factor Index =0.976, Tucker-Lewis Index=0.987, RMSEA= 0.040, SRMR=0.029). The alpha coefficient of the confirmatory factor solution was .90.</p><p><strong>Conclusion: </strong>The NCCS is valid and reliable; its use represents therefore the first steps in order to identify and increase nurse cultural competence in Italy.</p>","PeriodicalId":34911,"journal":{"name":"Professioni infermieristiche","volume":"73 1","pages":"13-20"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38092708","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}
Ippolito Notarnicola, Gennaro Rocco, Ausilia Pulimeno, Maria Rosimar De Jesus Barbosa, Laura Iacorossi, Antonello Petrizzo, Asia Giada Polletta, Francesca Gambalunga, Alessandro Stievano
{"title":"[Linguistic validation and cultural adaptation of the Nurse Clinical Reasoning Scale].","authors":"Ippolito Notarnicola, Gennaro Rocco, Ausilia Pulimeno, Maria Rosimar De Jesus Barbosa, Laura Iacorossi, Antonello Petrizzo, Asia Giada Polletta, Francesca Gambalunga, Alessandro Stievano","doi":"10.7429/pi.2020.721005","DOIUrl":"https://doi.org/10.7429/pi.2020.721005","url":null,"abstract":"<p><strong>Introduction: </strong>The clinical reasoning is a process in which nurses collect ideas, process information, they come to understand the problem or the patient's situation by planning and implementing interventions, evaluating the results.</p><p><strong>Study design: </strong>The aim of this study is to perform linguistic and cultural validation for the Italian context of the Nurse Clinical Reasoning Scale (NCRS).</p><p><strong>Methods: </strong>Transcultural adaptation to develop the Italian version of the questionnaire was carried out following the guidelines proposed by Beaton and collaborators in 2000.</p><p><strong>Results: </strong>The results showed that the Italian version of the instrument is reliable both showing a good internal consistency (Cronbach's Alpha = 0.90), and a good stability (ICC = 0.90; CI = 0.87-0.92) and can be proposed as an interesting means of evaluating nursing students in the course of clinical placements and nurses in their daily clinical practice.</p><p><strong>Conclusions: </strong>Having tools available in Italian promotes the implementation of new research projects in various areas, such as health, in order to ensure the centrality of the patient in the care process.</p>","PeriodicalId":34911,"journal":{"name":"Professioni infermieristiche","volume":"73 1","pages":"5-11"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38092297","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 Year of Nurse and Midwife and Covid-19].","authors":"Walter De Caro","doi":"10.7429/pi.2020.731001","DOIUrl":"https://doi.org/10.7429/pi.2020.731001","url":null,"abstract":"","PeriodicalId":34911,"journal":{"name":"Professioni infermieristiche","volume":"73 1","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38092296","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":"[Consequences of alcohol consumption mixed with Energy Drink. Overview of systematic reviews].","authors":"Luca Giuseppe Re, Maura Lusignani","doi":"10.7429/pi.2018.714199","DOIUrl":"https://doi.org/10.7429/pi.2018.714199","url":null,"abstract":"<p><strong>Introduction: </strong>The habit of teenagers and young adults to take alcoholic beverages mixed with Energy Drinks (AmED) is increasing. Epidemiological data are of concern but awareness of the problem between consumers and health workers is scarce.</p><p><strong>Objective: </strong>To compare the effects and damages from consumption of AmED compared to alcohol.</p><p><strong>Metodi: </strong>Finding documents through the interrogation of seven biomedical databases. Overview of systematic reviews assessed for methodological quality and risk of bias respectively with the AMSTAR checklist and ROBIS tool with narrative synthesis of results.</p><p><strong>Results: </strong>Six systematic reviews of low quality and high risk of bias met the inclusion criteria. The intake of AmED seems to determine the increase in state of vigilance, reduction of sedation and possible effects at physiological level; there are no significantly different cognitive or psychomotor effects. The evidence to support a lower perception of alcohol intoxication is insufficient; controversial are those in favour of an increase in alcohol intake or risky behavior.</p><p><strong>Discussion and conclusions: </strong>The results of experimental studies, which unlike nonexperimental could identify a cause-effect relationship, are often statistically insignificant and do not lead to a unanimous consensus on the different effects/damages of two consumption patterns. The authors of three reviews declare conflicts of interest with an ED producer, raising the problem of industry's influence on research. The current evidence is insufficient to confirm or refute the hypothesis that intake of AmED results in significantly different effects/damage compared to alcohol. However, the magnitude of phenomenon must act as a push for further studies promoted by independent researchers.</p>","PeriodicalId":34911,"journal":{"name":"Professioni infermieristiche","volume":"71 4","pages":"199-208"},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37148554","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":"[Violence in health sector: the contribution of Italian nursing research].","authors":"Nicola Ramacciati, Laura Rasero","doi":"10.7429/pi.2019.724237","DOIUrl":"https://doi.org/10.7429/pi.2019.724237","url":null,"abstract":"<p><strong>Introduction: </strong>Violence in the health sector is a severe and widespread phenomenon worldwide, which increasingly attracts the attention of international scholars. The purpose of this paper is to analyze the contribution of Italian nursing research on the issue of violence in health care.</p><p><strong>Methods: </strong>Starting from a search in the international databases PubMed, CINAHL and Scopus, and Italian ILISI and the SISI archive, we found 49 works by Italian nursing researchers and scholars.</p><p><strong>Results: </strong>The Italian scientific production is focused above all on the issue of Type 2 violence (client on worker) and Type 3 (worker on worker), with predominantly descrip- tive and observational studies, but also qualitative/phenomenological. The publications have increased over the years, becoming increasingly internationalized, as evidenced by the number of citations in the articles and the growing impact factor of the journals. The contribution of the doctoral schools is proving to be fundamental to favor research in this field.</p><p><strong>Conclusions: </strong>The increasing dissemination and sharing of research results on this phenomenon with the entire scientific and professional community are desirable so that a useful and robust contribution can be made in combating violence in health care.</p>","PeriodicalId":34911,"journal":{"name":"Professioni infermieristiche","volume":"72 4","pages":"237-246"},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37798030","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":"[From corpsman to rescuer, the missed nurse's ideal towards the end of italian Risorgimento].","authors":"Valerio Di Nardo, Antonella Palombo, Loredana Piervisani, Ercole Vellone, Rosaria Alvaro","doi":"10.7429/pi.2019.724260","DOIUrl":"https://doi.org/10.7429/pi.2019.724260","url":null,"abstract":"<p><strong>Introduction: </strong>Military corps have always been supported by healthcare providers who took care of the injured and sick soldiers. Traditionally the military nurse's figure has never been fully appreciated to the point that, even nowadays, it is still searching for its own identity.</p><p><strong>Aim: </strong>The aim of the study is to describe the military nurse's role from the Second War for Italian Independence (1859) to the conquest of Rome (1870).</p><p><strong>Methods: </strong>Historical investigation. Secondary sources were consulted to carry out a geopolitical and historical contextualization of the reference period, while to trace the military nurse's evolution the team referred to primary sources. All the mentioned sources were analyzed according to Chabod's methodology (2012).</p><p><strong>Results: </strong>The military nurse was born as a corpsman. The Risorgimento wars contributed to highlight the major contribution that nurses could give to military healthcare. In 1863 the Ministry of War elaborated a new and innovative profile for military nurses which foresaw particular physical and moral requirements, but also specific competences. Even though a new ideal of nurse was created, the Military Nurses Corp did not experience any changes: the nurses' activities remained transporting the injured and assisting doctors.</p><p><strong>Conclusions: </strong>Primary sources analysis highlighted an important attention towards the military nurse's role and education after national unity, although the gap shown by the military healthcare service during the Risorgimento battles was evident. Such condition facilitated the development of the first rescue committees which became, at a later time, the International Red Cross. The committees popularity allowed the volunteers to gain higher fame and social prestige than military nurses.</p>","PeriodicalId":34911,"journal":{"name":"Professioni infermieristiche","volume":"72 4","pages":"260-266"},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37799433","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}
Federico Ruta, Alessandro Delli Poggi, Paolo Ferrara, Maura Lusignani
{"title":"[Analysis of attitude, knowledge and willingness of undergraduate nursing students' toward organ donation].","authors":"Federico Ruta, Alessandro Delli Poggi, Paolo Ferrara, Maura Lusignani","doi":"10.7429/pi.2019.724247","DOIUrl":"https://doi.org/10.7429/pi.2019.724247","url":null,"abstract":"<p><strong>Introduction and aim: </strong>Organ transplantation is considered a life-saving treatment for patients with end-stage pathologies. The knowledge and the attitude of nurses can positively influence the willingness of family members and patients to give consent to organ and conse- quently organ donation rates. To understand the critical capacity of nursing students to self- evaluate themselves on information on brain death, donation and transplantation, investi- gating scientific knowledge, predisposition and attitude related to these topics through a survey.</p><p><strong>Method: </strong>This work is a cross-sectional descriptive study carried out among conveniently selected undergraduate nursing students (n = 578) of three Universities respectively in northern, center and southern of Italy using a questionnaire formulated on the basis of the FAQs prepared by the National Transplant Center (CNT).</p><p><strong>Results: </strong>Most of students show an adequate level of knowledge and attitudes favorable to organ and tissue donation even if very few students have signed the donor card. Students' knowledge and perceptions are still lacking in specific areas such as legislations (only 6%).</p><p><strong>Conclusions: </strong>The findings suggest the need for revising the nursing curricula to improve the future nurses' skills, increase the modality to sign the donor card and favor the rate of organ donation.</p>","PeriodicalId":34911,"journal":{"name":"Professioni infermieristiche","volume":"72 4","pages":"247-252"},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37798031","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":"Men's experiences of deciding about treatment for localized prostate cancer: a meta-synthesis.","authors":"Silvia Sferrazza, Roberto Accettone, Kusuma Pampoorickel, Gabriele Caggianelli, Stefano Casciato, Alessandro Cinque, Maria Matarese","doi":"10.7429/pi.2019.724272","DOIUrl":"10.7429/pi.2019.724272","url":null,"abstract":"<p><strong>Background: </strong>Prostate cancer is the most common cancer in men worldwide and nowadays several treatments are available, each presenting risks and benefits. Therefore, deciding on the most appropriate treatment is particularly challenging for men at the time of the diagnosis.</p><p><strong>Aim: </strong>This review was aimed at identifying, analyzing, and synthesizing the qualitative evidence on the experience of deciding about treatment after a diagnosis of localized Prostate cancer (LPC) METHODS: A meta-synthesis according to the meta-aggregation approach of the Joanna Briggs Institute (JBI) was used. The CINAHL, MEDLINE, and PsycINFO databases were searched for qualitative studies published from January 1998 to August 2018 in English and Italian. Qualita- tive Assessment and Review Instrument of JBI was used.</p><p><strong>Results: </strong>From the identified sixteen studies two synthesized findings were derived that describe the decision-making as a complex process made in condition of emotional distress and influenced by internal and external factors; men evaluate differently the possible risks and benefits of cancer treatment, and after deciding they try to cope with their choice.</p><p><strong>Conclusion: </strong>The review provides evidence that men with LPC's need to receive emotional support and comprehensive information about the treatment options to facilitate their decision. The healthcare team should refer men to a multidisciplinary cancer service to permit access to all the treatment options.</p>","PeriodicalId":34911,"journal":{"name":"Professioni infermieristiche","volume":"72 4","pages":"272-282"},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37799435","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}
A. Conti, M. Clari, Francesca Carignano, Patrizia Sacca', L. Garrino
{"title":"Teaching resilience and vulnerability to nursing students using films: A qualitative study.","authors":"A. Conti, M. Clari, Francesca Carignano, Patrizia Sacca', L. Garrino","doi":"10.7429/pi.2019.722135","DOIUrl":"https://doi.org/10.7429/pi.2019.722135","url":null,"abstract":"BACKGROUND\u0000There is a limited tradition of using films in healthcare education, although it is constantly developing. Further, to understand complex concepts, such as vulnerability and resilience, is fundamental to improving nursing education.\u0000\u0000\u0000OBJECTIVE\u0000This study aims to explore how a combined approach, using films and expert patients, could influence nursing education on the topics of vulnerability and resilience.\u0000\u0000\u0000METHODS\u0000A qualitative descriptive study was carried out. Reflective writings of eight bache- lor's degree students during the first semester of the second year were analysed through a con- tent analysis methodology.\u0000\u0000\u0000RESULTS\u0000Two main themes emerged: 1) To face up to vulnerability through resilience expe- riences, with three sub-themes: active behaviours to cope with disability; carrying the heavy load of vulnerability; using resilience as a new beginning; 2) Students' difficulties and perspectives on caring vulnerable people, with two sub-themes: awkwardness of facing vulnerability; and walk together to overcome disability CONCLUSIONS: The use of films, enhanced by the lived experiences of expert patients, would improve the learning in the new generation of nursing students that are actually more involved in the use of innovative learning strategies. The adoption of new ways to teach complex con- cepts to bachelor degree nursing students is pivotal to simplify theories and to establish a posi- tive connection between nursing students and educators. The education system should consider that, only through emotionally strong educational strategies, is possible to foster an endu- ring emotional knowledge in students.","PeriodicalId":34911,"journal":{"name":"Professioni infermieristiche","volume":"72 2 1","pages":"135-142"},"PeriodicalIF":0.0,"publicationDate":"2019-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49416945","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}