Assistenza infermieristica e ricerca : AIR最新文献

{"title":"[Evidences: new contexts for an old key-word].","authors":"Gianni Tognoni","doi":"10.1702/4774.47960","DOIUrl":"https://doi.org/10.1702/4774.47960","url":null,"abstract":"","PeriodicalId":516320,"journal":{"name":"Assistenza infermieristica e ricerca : AIR","volume":"45 3","pages":"109-112"},"PeriodicalIF":0.9,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149013496","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":"[Simulation in nursing education in Italy: a scoping review].","authors":"Vittorio Masotta, Gianluca Azzellino, Ilaria Paoli, Valeria Caponnetto, Erika Laurenza, Luna Palma, Alessandra Ciangoli, Cristina Petrucci, Loreto Lancia, Angelo Dante","doi":"10.1702/4774.47961","DOIUrl":"10.1702/4774.47961","url":null,"abstract":"<p><p>. Simulation in nursing education in Italy: a scoping review.</p><p><strong>Introduction: </strong>Simulation represents a cornerstone in contemporary nursing education, yet no comprehensive synthesis is currently available describing how it is used, in which settings it is applied, and outcomes assessed in Italy.</p><p><strong>Objective: </strong>To map the available literature on simulation in Italian nursing education and practice, examining study designs, participant characteristics, simulation modalities, theoretical and evidence-based underpinnings, outcome measures, and key educational insights.</p><p><strong>Methods: </strong>The scoping review followed the Joanna Briggs Institute (JBI) methodology and was reported according to the PRISMA-ScR checklist. Searches were conducted in PubMed, Scopus, and EBSCOhost. Primary studies conducted in Italy, published in Italian or English, and focused on the use of simulation in nursing education, training, or practice were included.</p><p><strong>Results: </strong>Thirty-three studies were included. Scientific production increased over time, with a marked peak during the covid-19 pandemic. Most studies were observational, monocentric, and conducted in academic settings, mainly within undergraduate nursing programmes. High-fidelity simulation was the most frequently used modality, whereas digital, immersive, and hybrid technologies were less represented. Outcomes mainly addressed the first two levels of Kirkpatrick's model, while transfer to practice and patient or organizational outcomes were rarely investigated.</p><p><strong>Conclusions: </strong>Italian research on nursing simulation is growing and shows signs of maturation but remains predominantly single-centre and academically focused. As in the international literature, transfer to practice and impact on patient outcomes remain poorly documented. Pedagogical design appears generally sound, whereas reporting and alignment among objectives, modalities, fidelity, and evaluation remain areas for improvement.</p>","PeriodicalId":516320,"journal":{"name":"Assistenza infermieristica e ricerca : AIR","volume":"45 3","pages":"113-134"},"PeriodicalIF":0.9,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149013508","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":"[A quality improvement project on urinary catheter management in a medical ward of the Turin local health authority].","authors":"Tiziana De Prospo, Stefania Labita, Giuseppina Melis, Loredana Scolari, Elena Viottini, Sara Del Colle, Maria Pagliaro, Gaia Macchioni, Antonella Dragonetti, Fausto Russo, Domenico Martelli, Fabiano Zanchi","doi":"10.1702/4774.47962","DOIUrl":"10.1702/4774.47962","url":null,"abstract":"<p><p>. A quality improvement project on urinary catheter management in a medical ward of the Turin local health authority.</p><p><strong>Introduction: </strong>Appropriate use of urinary catheters (UC) is essential to prevent Catheter-Associated Urinary Tract Infections (CAUTI), which represent a substantial proportion of healthcare associated infections and are associated with increased morbidity, antibiotic use, and length of stay. In the Medical ward of the ASL Città di Torino, variability was observed in UC insertion, management, and reassessment practices, despite the availability of updated institutional recommendations.</p><p><strong>Aim: </strong>To improve professionals' adherence to institutional recommendations on UC management and to evaluate the impact on care processes and clinical outcomes.</p><p><strong>Methods: </strong>A quality improvement project was conducted using two PDSA cycles, grounded in the COM-B and TDF frameworks. The multicomponent intervention included audit-feedback, multiprofessional briefings, training, electronic reminders, support materials, a project champion, a self assessment questionnaire, and structured brainstorming. Three measurement periods (baseline, post-PDSA1, post-PDSA2) monitored process indicators and clinical outcomes.</p><p><strong>Results: </strong>Fifty-six patients were assessed at baseline and forty-nine after PDSA2. Process indicators improved markedly: documentation of UC indication (59.2%→94.8%), daily reassessment (25%→89.6%), and documentation of catheter size (46.1%→98.3%). The number of catheterizations decreased (76→58), as did median catheter duration (8→6 days) and CAUTI incidence density (20→13.77 per 1,000 catheter-days), although without statistical significance.</p><p><strong>Conclusions: </strong>Integrated, theory-driven interventions supported by a favourable organizational context can substantially improve UC-related care practices. Active professional engagement and decision support tools promote sustainable behavioural change. The model may be transferable to other clinical settings.</p>","PeriodicalId":516320,"journal":{"name":"Assistenza infermieristica e ricerca : AIR","volume":"45 3","pages":"135-145"},"PeriodicalIF":0.9,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149013519","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":"[Regulated nursing autonomy and professional responsibility: prehospital emergency care as a paradigm of the legal evolution of the nursing profession].","authors":"Alessandro Pini","doi":"10.1702/4774.47965","DOIUrl":"10.1702/4774.47965","url":null,"abstract":"<p><p>. Regulated nursing autonomy and professional responsibility: prehospital emergency care as a paradigm of the legal evolution of the nursing profession.</p><p><strong>Introduction: </strong>The evolution of Italian nursing has expanded the competencies deployed in practice without fully defining the juridical configuration of advanced professional autonomy, especially in regulated organisational settings.</p><p><strong>Objective: </strong>To propose regulated nursing autonomy as an interpretive category of professional action, using prehospital emergency care as the paradigm of a model in which nursing knowledge becomes legally identifiable professional conduct.</p><p><strong>Methods: </strong>The paper develops a legal-theoretical analysis based on professional legislation, regulation of time-dependent clinical networks, nursing literature on decision-making, and reflection on healthcare liability.</p><p><strong>Results: </strong>Prehospital emergency services show that nurses do not replicate the medical act, rather they make care-related decisions within predefined activation criteria. Responsibility arises not only from the final act, but also from the professional judgment through which the case is qualified as falling within the area of intervention entrusted to the nurse. The new clinical specialisations further strengthen the need for a more complete legal status.</p><p><strong>Conclusions: </strong>Health law should not limit itself to reconstructing liability ex post when error occurs. It must describe the expression of advanced nursing practice, distinguishing professional roles without rigidly fixing their boundaries and recognising the role of organisational dimension as a key mechanism for governing autonomy.</p>","PeriodicalId":516320,"journal":{"name":"Assistenza infermieristica e ricerca : AIR","volume":"45 3","pages":"162-165"},"PeriodicalIF":0.9,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149013515","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":"[Indications and management of nasogastric tube].","authors":"","doi":"10.1702/4774.47964","DOIUrl":"10.1702/4774.47964","url":null,"abstract":"<p><p>. Indications and management of nasogastric tube. The review by Alverdy et al examines current evidence on the indications, placement, and management of nasogastric tubes (NGTs) used for gastric decompression. Historically employed since the 17th century, modern NGTs - particularly the Salem sump - enable effective aspiration while minimizing mucosal injury. The primary indication remains small bowel obstruction, most often caused by adhesions. In uncomplicated cases without ischemia or peritonitis, NGT based conservative management resolves approximately 75% of obstructions. Water soluble contrast agents retain diagnostic value but do not reduce surgical rates.Routine postoperative NGT use after elective abdominal surgery is not supported by evidence. Multiple meta analyses show earlier return of bowel function, fewer pulmonary complications, and shorter hospital stays when NGTs are avoided. Recent trials in pancreatic surgery confirm no benefit from routine decompression and suggest a possible increase in mortality. ERAS protocols across colorectal, gastric, pancreatic, esophageal, hepatobiliary, and gynecologic surgery consistently recommend selective rather than routine use, reserving NGTs for severe distension, refractory vomiting, delayed gastric emptying, or high aspiration risk.Contraindications include facial trauma, caustic ingestion, esophageal perforation, and fixed obstructions; relative contraindications involve coagulopathy, varices, recent upper GI anastomosis, and severe nasal pathology. Proper insertion technique, radiographic confirmation when needed, secure fixation, and daily reassessment are essential. Complications range from nasal trauma and misplacement into the airway to electrolyte disturbances, aspiration, and pressure injuries.Overall, NGTs remain valuable for targeted decompression, but evidence strongly supports selective, time limited use with vigilant monitoring and prompt removal when no longer indicated.</p>","PeriodicalId":516320,"journal":{"name":"Assistenza infermieristica e ricerca : AIR","volume":"45 3","pages":"155-161"},"PeriodicalIF":0.9,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149013537","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":"[Appeal by the Italian Society of Preventive and Social Pediatrics (SIPPS) to Italian authorities for the immediate release of Dr. Hussam Abu Safiya].","authors":"","doi":"10.1702/4774.47967","DOIUrl":"https://doi.org/10.1702/4774.47967","url":null,"abstract":"","PeriodicalId":516320,"journal":{"name":"Assistenza infermieristica e ricerca : AIR","volume":"45 3","pages":"169-170"},"PeriodicalIF":0.9,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149013545","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":"[Evidences able to create future].","authors":"Gianni Tognoni","doi":"10.1702/4774.47966","DOIUrl":"10.1702/4774.47966","url":null,"abstract":"<p><p>. Evidences able to create future. The text reflects on Gaza as a historical breaking point, a place where the collapse of political responsibility and the silence of states threaten the very idea of human civilization. The voices of those who resist dehumanization and demand dignity, even when official powers remain indifferent, must be preserved. A perspective inspired by a war correspondent who witnessed the unending, pervasive inhumanity of Gaza from within is proposed. Her words call for transforming compassion into responsibility, rejecting passive pity, and confronting the viewer with the question of where they stand in the suffering they observe. It urges vigilance rather than sleep, truth rather than consolation, and the naming of victims one by one until breath fails. Ultimately, the text invites readers - especially those in caring professions - to cultivate a collective moral 'wakefulness', so that the future of healthcare and society may align with a \"magnificent humanity\" grounded in the inviolable value of every life.</p>","PeriodicalId":516320,"journal":{"name":"Assistenza infermieristica e ricerca : AIR","volume":"45 3","pages":"166-168"},"PeriodicalIF":0.9,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149013546","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":"[Improving emergency department overcrowding measurement: local recalibration of the NEDOCS index and integration into the overcrowding management. A retrospective validation study for 2024-2025].","authors":"Roberta Vacchelli, Giuseppe Tedino, Valentina Bacchiarello, Adriana Boccuzzi, Salvatore Di Gioia, Davide Minniti, Ivana Finiguerra, Alessio Conti","doi":"10.1702/4774.47963","DOIUrl":"10.1702/4774.47963","url":null,"abstract":"<p><p>Improving Emergency Department overcrowding measurement: local recalibration of the NEDOCS index and integration into the overcrowding management plan. A retrospective validation study for 2024-2025.</p><p><strong>Introduction: </strong>The NEDOCS (National Emergency Department Overcrowding Study) is the most widely used overcrowding index; validated in large US academic emergency departments, it tends to saturate in medium small European settings, classifying most ordinary days as critical.</p><p><strong>Objective: </strong>To describe the local recalibration of NEDOCS in a Piedmont hospital university trust and to assess its agreement and discriminative ability compared with the regional three level system.</p><p><strong>Methods: </strong>A retrospective observational study was conducted on 731 consecutive days (years 2024-2025), with point measurements taken at 10:00 a.m. Agreement was assessed using percentage agreement and weighted Cohen's kappa; discriminative ability was evaluated through ROC curves, deriving cut offs on 2024 data and validating them on 2025.</p><p><strong>Results: </strong>Over the two year period, days with severe overcrowding increased from 22 to 73. The original NEDOCS produced very high scores (median 287 and 310), flagging almost every day as severely overcrowded; the recalibrated index brought values back within the thresholds of the regional plan (median 130.5 and 143), ranking days by severity almost identically (rho = 0.90). Agreement with the Level declared by the bed manager was 65.1% (99.6% within one class; weighted kappa 0.63). The index showed good ability to identify overcrowded days (AUC 0.86 and 0.84) and excellent ability to identify severely overcrowded days (0.93 and 0.95).</p><p><strong>Conclusions: </strong>Local recalibration restores the practical usefulness of NEDOCS. Adding a lower threshold as an early warning alert could support timely activation of interventions, whose monitoring is primarily entrusted to nurses.</p>","PeriodicalId":516320,"journal":{"name":"Assistenza infermieristica e ricerca : AIR","volume":"45 3","pages":"146-154"},"PeriodicalIF":0.9,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149013539","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":"[Recruitment of foreign nurses under temporary recognition in Piedmont: evolution of migration flows and trasformation of the healthcare labor market (2020-2026)].","authors":"Ivan Bufalo, Elena Casabona","doi":"10.1702/4723.47397","DOIUrl":"10.1702/4723.47397","url":null,"abstract":"<p><p>. Recruitment of foreign nurses under temporary recognition in Piedmont: evolution of migration flows and transformation of the healthcare labor market (2020-2026).</p><p><strong>Introduction: </strong>The shortage of nurses is one of the major challenges facing European healthcare systems. During the covid-19 pandemic, Italy introduced emergency regulations allowing temporary professional practice for foreign healthcare workers without completion of the ordinary national recognition process.</p><p><strong>Aim: </strong>To describe the evolution of foreign nurse recruitment in the Piedmont Region (Italy) between 2020 and 2026, and to compare these flows with historical migration patterns and professional register data.</p><p><strong>Methods: </strong>A retrospective analysis of the data from the Piedmont Regional Registry of Temporary Healthcare Professionals. Available variables included profession, country of origin, qualification, and date of application. Geographical origin and temporal trends were analyzed and compared with the register of the Nursing Professional Board of Turin (OPI Torino).</p><p><strong>Results: </strong>Between March 2020 and May 2026, 2,183 nurses entered Piedmont through temporary recognition procedures, compared with 1,439 foreign nurses registered during the previous thirty years. The geographical composition changed dramatically: European professionals decreased from 86.1% among historically registered nurses to 39.4% among temporarily authorized professionals, while African, Asian and South American flows increased substantially. Tunisia, India and Brazil showed the most significant growth. The number of regional authorization resolutions progressively increased after the transformation of the emergency regulation into a structural workforce policy.</p><p><strong>Conclusions: </strong>Temporary recognition procedures profoundly changed international nurse migration patterns in Piedmont. The rapid expansion of recruitment from non-European countries raises organizational, ethical and professional concerns, including transparency of recruitment agencies, professional qualification assessment and potential worker exploitation. International recruitment cannot replace long-term workforce policies aimed at improving salaries and professional attractiveness for nurses in Italy.</p>","PeriodicalId":516320,"journal":{"name":"Assistenza infermieristica e ricerca : AIR","volume":"45 2","pages":"87-93"},"PeriodicalIF":0.9,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148280876","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":"[Cuba: the collapse of a healthcare system. An appeal to the medical community and international institutions].","authors":"","doi":"10.1702/4723.47400","DOIUrl":"https://doi.org/10.1702/4723.47400","url":null,"abstract":"","PeriodicalId":516320,"journal":{"name":"Assistenza infermieristica e ricerca : AIR","volume":"45 2","pages":"107-108"},"PeriodicalIF":0.9,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148280827","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}