Assistenza infermieristica e ricerca : AIR最新文献

{"title":"[When hospital re-admissions are a useful indicator of the quality of care?]","authors":"Daniela Berardinelli, Beatrice Albanesi, Alessio Rizzo, Paola Di Giulio","doi":"10.1702/4338.43234","DOIUrl":"10.1702/4338.43234","url":null,"abstract":"","PeriodicalId":516320,"journal":{"name":"Assistenza infermieristica e ricerca : AIR","volume":"43 3","pages":"144-148"},"PeriodicalIF":0.9,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142305686","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":"[Importing nurses from abroad: solution or problem?]","authors":"Anna Brugnolli, Valerio Dimonte","doi":"10.1702/4338.43230","DOIUrl":"10.1702/4338.43230","url":null,"abstract":"","PeriodicalId":516320,"journal":{"name":"Assistenza infermieristica e ricerca : AIR","volume":"43 3","pages":"101-104"},"PeriodicalIF":0.9,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142305682","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":"[Frequency and reasons for missed nursing care: a cross-sectional study in Veneto Region hospital].","authors":"Maria Grazia Cengia, Alvisa Palese, Luisa Saiani, Luca Brugnaro, Achille Di Falco, Elisabetta Mezzalira, Claudio Costa, Elisa Ambrosi","doi":"10.1702/4338.43231","DOIUrl":"10.1702/4338.43231","url":null,"abstract":"<p><p>. Frequency and reasons for missed nursing care: a cross-sectional study in Veneto Region hospitals.</p><p><strong>Introduction: </strong>Missed nursing care (MNC) encompasses clinical, relational, and emotional aspects of care that are neglected, delayed, or incomplete as performed by nurses.</p><p><strong>Aims: </strong>1. To describe the frequency of MNC across various clinical settings within hospitals in the Veneto Region; 2. to identify the underlying motivations for MNC; 3. to analyze the relationship between the characteristics of nurses, organizational factors, and the perceived frequency of MNC.</p><p><strong>Methods: </strong>This cross-sectional exploratory study involved 12 healthcare organizations in the Veneto region. A total of 2,179 nurses and 159 coordinators participated, completing the Unfinished Nursing Care Survey questionnaire. Data was collected on the individual characteristics of the nurses and the organizations involved.</p><p><strong>Results: </strong>The least missed care activities included patient monitoring and surveillance, while the most missed were active/passive mobilization, supervision of support staff, and oral care. The primary reasons for MNC were related to insufficient human resources, unpredictability of workflow, and communication difficulties. Senior nurses were more likely to report MNC (OR 1.026; 95% CI 0.567-0.963), whereas those more satisfied with their role in the unit (OR 0.691; 95% CI 0.585-0.817) and those working in spoke hospitals (OR 0.739; 95% CI 0.567-0.963) were less likely to perceive missed nursing care.</p><p><strong>Conclusions: </strong>The study emphasizes that, generally, nurses perceive that they infrequently miss, omit, or delay care activities, particularly those related to patient monitoring and surveillance.</p>","PeriodicalId":516320,"journal":{"name":"Assistenza infermieristica e ricerca : AIR","volume":"43 3","pages":"105-117"},"PeriodicalIF":0.9,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142305680","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":"[Impact of 12-hour shifts on nurse, patient, and organizational outcomes. A critical review].","authors":"Marco Clari, Beatrice Albanesi, Chiara Bova, Alessio Conti, Silvia Gonella, Sara Campagna, Paola Di Giulio, Chiara Dall'Ora, Valerio Dimonte","doi":"10.1702/4338.43233","DOIUrl":"10.1702/4338.43233","url":null,"abstract":"<p><p>. Impact of 12-hour shifts on nurse, patient and organizational outcomes. A critical review.</p><p><strong>Introduction: </strong>The use of 12-hour shifts has been considered beneficial in reducing staffing costs, attracting more nurses, improving work-life balance, and organizing care more efficiently.</p><p><strong>Objective: </strong>The aim of this review is to critically examine the available evidence on the impact of 12-hour shifts on nurse, patient, and organizational outcomes.</p><p><strong>Methods: </strong>A critical review of the literature was undertaken. Quantitative, qualitative and mixed methods studies analyzing the effect of long shifts (>12 working hours) were included. The search was performed on MEDLINE through PubMed and Cinhal.</p><p><strong>Results: </strong>Fifty-four articles were included, covering publications from 1976 to 2024. Evidence suggests that nursing care and patient safety may deteriorate with 12-hour shifts, with mixed findings on continuity of care. 12-hour shifts can lead to increased nurses' fatigue, without a decrease in job performance, and can have negative impacts on physical health, continuing education, burnout, and job satisfaction. While qualitative studies indicate improved work-life balance, this is not supported by empirical evidence. One study suggests a decrease in costs, but the effects on sick leave are inconclusive. Additionally, intention-to-leave among nurses appears to increase.</p><p><strong>Conclusions: </strong>The evidence generally does not support the use of 12-hour shifts. However, due to methodological limitations in the included studies, firm conclusions cannot be drawn. Organizations and nurses should carefully consider the introduction of 12-hour shifts, evaluating nurses' needs and implementing patient-centered care models that support nursing professionalism, along with a continuous monitoring of patient, nurse, and organizational outcomes.</p>","PeriodicalId":516320,"journal":{"name":"Assistenza infermieristica e ricerca : AIR","volume":"43 3","pages":"130-143"},"PeriodicalIF":0.9,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142305681","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 organisation of outpatient medical and nursing clinics for the follow-up of patients after hospitalization for a myocardial infarction or heart failure].","authors":"Fausto Avanzini, Raffaella Amodeo, Lorena Colombo, Alfredo Corticelli, Donata Saltafossi, Luisa Chiappa, Giuseppe Iacuitti, Chiara Bova, Maria Grazia Paone, Simona Elli, Morgana Santambrogio, Sara Colognesi, Alessio Conti, Felice Achilli","doi":"10.1702/4338.43232","DOIUrl":"https://doi.org/10.1702/4338.43232","url":null,"abstract":"<p><p>. The organisation of outpatient medical and nursing clinics for the follow-up of patients after hospitalization for a myocardial infarction or heart failure.</p><p><strong>Introduction: </strong>Guidelines suggest careful monitoring of patients after acute heart failure (AHF) or acute myocardial infarction (AMI).</p><p><strong>Objective: </strong>To describe the implementation of the 'accompanied discharge' (DIMACC) pathway for patients admitted for AHF or AMI in the Cardiology Department of the Pio XI hospital in Desio, and to evaluate its feasibility.</p><p><strong>Methods: </strong>The DIMACC pathway was built following the recommendations of international guidelines and with the involvement of all the actors.</p><p><strong>Results: </strong>At discharge, the health objectives to be achieved are defined, and outpatient visits during the first year after hospitalization in the District outpatient clinics with the cardiology doctor and family nurses are booked. The patient stays in the outpatient clinic about 1.5 hours to complete at first, in half an hour, questionnaires on measures, symptoms, adherence, quality of life; then, to receive the nursing visit lasting half an hour for the assessment of the questionnaires, measurement of clinical parameters and counseling; and finally, to be visited by the cardiologist. During the pilot phase (6 months of recruitment and 1 year of follow-up) 168 patients (129 AMI and 39 AHF) followed the pathway: 4 (2.4%) patients died during the follow-up, 14 (8.3%) abandoned the pathway and 150 (89.3%) completed it.</p><p><strong>Conclusions: </strong>The implementation of the DIMACC pathway required an investment of time (about a year) and resources but the follow-up is feasible. The next phase will be the evaluation of the patient outcomes.</p>","PeriodicalId":516320,"journal":{"name":"Assistenza infermieristica e ricerca : AIR","volume":"43 3","pages":"118-129"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142305684","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":"[Should fluids thickeners still be used for patients with swallowing problerms?]","authors":"Anna Brugnolli, Daniel Pedrotti, Anita Bevilacqua","doi":"10.1702/4338.43236","DOIUrl":"10.1702/4338.43236","url":null,"abstract":"<p><p>. Should fluids thickeners still be used for patients with swallowing problems? The use of thickened fluids in patients with dysphagia is widespread and considered an effective strategy for improving swallowing. However, the evidences that support the effectiveness of thickened fluids in reducing aspiration pneumonia and other complications are scarce. Instead, a body of evidences suggests that it is associated to adverse events, including dehydration, malnutrition and reduced health-related quality of life. A recent study on the implementation of this intervention on patients with dementia and dysphagia admitted to hospital shows no differences in mortality between patients exposed or not to a diet with thick liquid, and a higher risk of respiratory complications. Pending studies to clarify which behaviour is best, it is important to try to understand, together with the patient and the clinical specialists, the best strategy tailored on the patient.</p>","PeriodicalId":516320,"journal":{"name":"Assistenza infermieristica e ricerca : AIR","volume":"43 3","pages":"157-160"},"PeriodicalIF":0.9,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142305683","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":"[US nurses and doctors in Gaza].","authors":"A Cura Della Redazione","doi":"10.1702/4338.43235","DOIUrl":"10.1702/4338.43235","url":null,"abstract":"<p><p>. US doctors and nurses in Gaza. The document proposed is a letter addressed to the US Presidency by a few dozen doctors and nurses, of various origins including ethnicity, of the most diverse skills. What they have in common, in addition to their official professionalism, also with important health and academic responsibilities in US health facilities, is their permanence-activity in the months after 7 October in the still ongoing nightmare of the genocide in Gaza. The document is important because it is one of the very few that makes visible and audible a collegial presence of representatives of the world of health care who have no other affiliation than that of nurses and doctors. It is very difficult to publish in journals looked upon as generators of medical knowledge anything about Gaza. The editors demand 'neutrality'. Even when the 'evidence' makes visible and infinitely confirmed what even the UN declares 'unthinkable'. These authors-actors-citizens then tell their policy-makers what happens: they simply ask them to watch, to listen, to judge whether it is tolerable to support, no matter with what excuses or reasons, that everything continues.</p>","PeriodicalId":516320,"journal":{"name":"Assistenza infermieristica e ricerca : AIR","volume":"43 3","pages":"149-156"},"PeriodicalIF":0.9,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142305685","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 controversial political plan of 'differentiation' of the regional autonomy].","authors":"Gianni Tognoni","doi":"10.1702/4280.42609","DOIUrl":"10.1702/4280.42609","url":null,"abstract":"","PeriodicalId":516320,"journal":{"name":"Assistenza infermieristica e ricerca : AIR","volume":"43 2","pages":"51-53"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141319482","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":"[Process nurse: the experience of the Emergency Department of Fano].","authors":"Michele Belardinelli, Michela Ricci, Serena Frassini, Domenico Ventura, Stefania Rasori","doi":"10.1702/4280.42610","DOIUrl":"10.1702/4280.42610","url":null,"abstract":"<p><p>. Process nurse: the experience of the Emergency Department of Fano.</p><p><strong>Introduction: </strong>Overcrowding in Emergency Departments (ED) is a common worldwide phenomenon. Strategies are needed to manage the excessive influx and length of stay in the Accidents and Emergency (A&E) ward, which may adversely affect the organization of care. The process nurse (PN) has been proposed, but the literature lacks rigorous studies on its effectiveness.</p><p><strong>Purpose: </strong>The pilot study was conducted to evaluate how the PN affects thre length of stay and drop-out rate after triage of selected users accessing the A&E.</p><p><strong>Methods: </strong>The PN was introduced in the A&E of the Santa Croce Hospital in Fano-AST Pesaro Urbino. Users with codes 3, 4, 5 and the most frequent causes for A&E visits were included. The length of stay and drop-out rate after triage were compared between users assigned to the PN and those who, at the same time and with the same problem and access codes, followed the standard process.</p><p><strong>Results: </strong>In November 2022, 943 users were enrolled, 214 cared by the PN and 729 with standard care. The mean time spent in the A&E was significantly lower in the PN group (206.7 ± SD 144.2 minutes vs 282.4 ± SD 208.9 minutes, p <0.0001). The discharge rate was higher in the PN group (89.7% vs 75.3% p <0.0001), while the drop-out rate was lower (9.8% vs 24.1% p <0.0001).</p><p><strong>Conclusions: </strong>The results highlight the potentialities of PN in the A&E and at triage, emphasizing its ability to speed up, facilitate, and optimize care pathways.</p>","PeriodicalId":516320,"journal":{"name":"Assistenza infermieristica e ricerca : AIR","volume":"43 2","pages":"54-60"},"PeriodicalIF":0.9,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141319480","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":"[Are falls a nursing sensitive outcome?]","authors":"Elena Casabona, Elena Viottini, Federica Riva-Rovedda, Marco Clari","doi":"10.1702/4280.42612","DOIUrl":"10.1702/4280.42612","url":null,"abstract":"<p><p>. Are falls a nursing sensitive outcome? Falls have historically been regarded as nursing-sensitive outcomes, i.e., problems that nurses can intervene in, to prevent their occurrence. However, falls are not a uniform phenomenon, as they can vary significantly and occur despite good nursing care. Furthermore, their predictability and preventability in the care of patients should be carefully considered. Since patient care involves multiple professionals, it is important to reflect on whether and to what extent a fall can be considered a sensitive outcome of nursing care or care in general. This contribution proposes some reflections on falls as a sensitive outcome and indicator of quality of care.</p>","PeriodicalId":516320,"journal":{"name":"Assistenza infermieristica e ricerca : AIR","volume":"43 2","pages":"71-75"},"PeriodicalIF":0.9,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141319478","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}