{"title":"[Proposal for informed consent for the 'differentiated autonomy' experiment].","authors":"A Cura Della Redazione","doi":"10.1702/4280.42615","DOIUrl":"10.1702/4280.42615","url":null,"abstract":"<p><p>. Proposal for informed consent for the 'differentiated autonomy' experiment. Differentiated regional autonomy means the power given to the 15 ordinary Regions - the 5 special Regions are excluded - to obtain regulatory and management competences in areas that are today regulated and administered by the State. Although differentiated autonomy is bad for the entire country - which risks losing its ability to implement economic, social, environmental, and cultural policies at a national level - there is no doubt that the Southern Regions will pay the heaviest price for its implementation, since they are already far behind and penalised compared to the North, with a worsening of all the health parameters, such as: reduction in life expectancy, increase in avoidable mortality, increase in mortality, increase in trips of hope to seek treatment in the North, and more. But the North will also have its problems, with poorer areas even within the richest regions and in the urban peripheries. And if the idea of solidarity, contained in the Constitution, is rejected, it is easy to move from competition to conflict, not only between North and South but also within the Regions.</p>","PeriodicalId":516320,"journal":{"name":"Assistenza infermieristica e ricerca : AIR","volume":"43 2","pages":"91-95"},"PeriodicalIF":0.9,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141319481","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 overlap Stevens-Johnson syndrome due to meropenem administration. Clinical case and nursing care].","authors":"Emanuele Rossi","doi":"10.1702/4280.42614","DOIUrl":"10.1702/4280.42614","url":null,"abstract":"<p><p>. The overlap Stevens-Johnson syndrome due to meropenem administration. Clinical case and nursing care. A case of overlap Stevens-Johnson syndrome caused by meropenem administration is described. It is a rare cutaneous reaction due to delayed hypersensitivity to drugs characterised by the destruction and separation of the skin epithelium and mucous membranes, affecting between 10% and 29% of the body surface area. The clinical description of the case and a detailed description of nursing management and interventions based on the available literature are reported.</p>","PeriodicalId":516320,"journal":{"name":"Assistenza infermieristica e ricerca : AIR","volume":"43 2","pages":"83-90"},"PeriodicalIF":0.9,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141319485","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 compulsory textbook for those who care for life].","authors":"Gianni Tognoni","doi":"10.1702/4280.42616","DOIUrl":"10.1702/4280.42616","url":null,"abstract":"","PeriodicalId":516320,"journal":{"name":"Assistenza infermieristica e ricerca : AIR","volume":"43 2","pages":"96-97"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141319477","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":"[Human trafficking: perspectives from nursing, criminal justice, and the social sciences of a global health emergency].","authors":"A Cura Della Redazione","doi":"10.1702/4280.42617","DOIUrl":"10.1702/4280.42617","url":null,"abstract":"","PeriodicalId":516320,"journal":{"name":"Assistenza infermieristica e ricerca : AIR","volume":"43 2","pages":"98-99"},"PeriodicalIF":0.9,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141319479","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 involvement of patients in the assessment of nursing students during their practical training: a scoping review].","authors":"Elisa Ragazzi, Luisa Saiani, Giulia Randon","doi":"10.1702/4280.42611","DOIUrl":"10.1702/4280.42611","url":null,"abstract":"<p><p>. The involvement of patients in the assessment of nursing students during their practical training: a scoping review.</p><p><strong>Introduction: </strong>In health care education, several experiences of patient involvement in students' assessment are documented internationally: this represents a challenge for nursing education.</p><p><strong>Objective: </strong>To analyze user involvement experiences in nursing student assessment in order to identify: a) potential benefits and challenges, b) assessment methods and tools, c) assessed skills.</p><p><strong>Methods: </strong>A scoping review was conducted according to the methodology proposed by the Joanna Briggs Institute. Methods and findings have been reported according to the PRISMA-ScR (Systematic reviews and Meta-Analyses extension for Scoping Reviews) statement.</p><p><strong>Results: </strong>The results of the 22 included studies, published between 1995 and 2021, mainly in the United Kingdom and Europe, indicate that user' engagement is an experience that can be useful and meaningful. However, it is not without challenges such as the difficulty of providing critical feedback, student anxiety, and the investment of time and resources required. Assessments can be collected through scales, questionnaires, or interviews, focusing on interpersonal skills such as listening and respect, allowing tutors to gather surprising details about students' performance.</p><p><strong>Conclusions: </strong>Patients can provide original insights into nursing student's caring behaviors and can be a source of learning based on valuing the point of view of care receivers. Implementing patient participation in this process requires clarity, commited adherence and rigorous planning.</p>","PeriodicalId":516320,"journal":{"name":"Assistenza infermieristica e ricerca : AIR","volume":"43 2","pages":"61-70"},"PeriodicalIF":0.9,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141319483","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 management of diabetic foot: the new guidelines of the International Working Group on Diabetic Foot].","authors":"Federica Riva-Rovedda","doi":"10.1702/4280.42613","DOIUrl":"10.1702/4280.42613","url":null,"abstract":"<p><p>. The management of diabetic foot: the new guidelines of the International Working Group on Diabetic Foot. The publication of the new guidelines on the diabetic foot are an opportunity for a fine-tuning of the (few) new developments, but of the soundness of the evidence and knowledge known so far. Compared to the previous 2019 guidelines, the 2023 update included the analysis of randomised clinical trials only, a more accurate application of the GRADE method, a leaner and more current bibliography, and an update of the strength of some recommendations from low to conditional. The real big news in the 2023 update is the publication of a specific guideline for the diagnosis and treatment of Charcot neuro-osteoarthropathy in people with diabetes, neuropathy and in the absence of skin lesions.</p>","PeriodicalId":516320,"journal":{"name":"Assistenza infermieristica e ricerca : AIR","volume":"43 2","pages":"76-82"},"PeriodicalIF":0.9,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141319484","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":"[How to increase the number of enrollments in nursing courses?]","authors":"Luisa Saiani","doi":"10.1702/4250.42265","DOIUrl":"https://doi.org/10.1702/4250.42265","url":null,"abstract":"","PeriodicalId":516320,"journal":{"name":"Assistenza infermieristica e ricerca : AIR","volume":"43 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140875127","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}
Valentina Ariu, Alessio Rizzo, Antonio Valenti, Stefano Gianolio, Nadia Russolillo, Roberto Lo Tesoriere, Alessandro Ferrero, Riccardo Sperlinga, Graziella Costamagna
{"title":"[The telephone follow-up by a nurse case manager in major surgery. A prospective observational study].","authors":"Valentina Ariu, Alessio Rizzo, Antonio Valenti, Stefano Gianolio, Nadia Russolillo, Roberto Lo Tesoriere, Alessandro Ferrero, Riccardo Sperlinga, Graziella Costamagna","doi":"10.1702/4250.42268","DOIUrl":"10.1702/4250.42268","url":null,"abstract":"<p><p>. The telephone follow-up by a nurse case manager in major surgery. A prospective observational study.</p><p><strong>Introduction: </strong>One of the methods used in case management is a structured telephone follow-up, helpful in improving patient satisfaction, supporting autonomy, and addressing information needs post-discharge.</p><p><strong>Objective: </strong>To describe the experience of nursing case management and post-hospital telephone follow-up in patients undergoing major abdominal surgery.</p><p><strong>Method: </strong>Single-centre prospective observational study. All consecutive patients undergoing major abdominal surgery from April 2021 to May 2022 were included. Symptoms and nursing care needs during the post-discharge period, along with case management interventions, were described.</p><p><strong>Results: </strong>Of the 205 patients included in the study, 89.8% underwent elective surgery and 135 (65.9%) did not develop postoperative complications, with a median hospital stay of 8 days. 182 (88.8%) patients reported at least one postoperative symptom, with fatigue, altered bowel movements, pain, and lack of appetite being the most common. Interventions provided by the case manager decreased progressively over time, from 149 at the first telephone contact (72%) to 44 at the third (25%). A total of 22 patients (10.7%) were readmitted to the hospital, 12 of whom on the recommendation of the case manager.</p><p><strong>Conclusions: </strong>After discharge, patients experience numerous issues: although the symptoms encountered are common during the post-operative period, they often require support beyond the patient's capacity. The intervention of the case manager with information and support for self-management of symptoms enabled the early identification of risk situations.</p>","PeriodicalId":516320,"journal":{"name":"Assistenza infermieristica e ricerca : AIR","volume":"43 1","pages":"26-34"},"PeriodicalIF":0.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140874424","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":"[Indicators and outcomes associated with the quality of care: how to use them and interpret results].","authors":"A Cura Della Redazione","doi":"10.1702/4250.42270","DOIUrl":"https://doi.org/10.1702/4250.42270","url":null,"abstract":"<p><p>. Indicators and outcomes associated with the quality of care: how to use them and interpret results. Outcomes related to care (or nursing sensitive outcomes) such as pressure ulcers, failure to rescue, accidental falls are specific patient outcomes influenced by nursing care. They are used to monitor the quality of care and patient safety in hospitals across the country. However, their association with nursing care is not always clear, and the attention should be focused on avoidable events. From the following issue a reflection on the main indicators will be proposed with some hints on how to collect data and interpret the results.</p>","PeriodicalId":516320,"journal":{"name":"Assistenza infermieristica e ricerca : AIR","volume":"43 1","pages":"44-45"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140871353","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 use of standardized nursing languages in electronic medical records: an exploratory study on opportunities, limitations, and strategies].","authors":"Erica Visintini, Stefania Chiappinotto, Alvisa Palese, Luisa Saiani","doi":"10.1702/4250.42267","DOIUrl":"https://doi.org/10.1702/4250.42267","url":null,"abstract":"<p><p>. The use of standardized nursing languages in electronic medical records: an exploratory study on opportunities, limitations, and strategies.</p><p><strong>Introduction: </strong>Standardized nursing languages (SNLs) have found increasing application in electronic medical records in recent years. In Italy their use is still uneven and accompanied by a silent debate between positions 'against' and 'for' their use.</p><p><strong>Aim: </strong>To render visible the debate regarding SNLs in Italy, and the strategies to consider when digitized records are based on a SNL.</p><p><strong>Method: </strong>Data has been collected through audio-recorded semi-structured interviews, selecting three Italian nursing professors, four managers representing Italian healthcare settings that used a SNT and a representative of the Central committee of the National federation of orders of nursing professions. The thematic approach was used to analyze the data.</p><p><strong>Results: </strong>Participants reported having introduced digitized records based on nursing diagnoses, integrated with the Nursing Interventions Classification System and Nursing Outcome Classification, Clinical Care Classification System, Nursing Sensitive Outcomes or mixed models. Divergent aspects emerge regarding: (1) using nursing languages vs a common language to other healthcare professions; (2) planning care vs enhancing clinical reasoning; (3) measuring nursing care vs accepting the variability of the practice, and (4) making documentation efficient vs dedicating more time. Some convergences have emerged and a set of indications for introducing electronic records when based on standardized languages.</p><p><strong>Conclusions: </strong>The introduction of electronic documentation requires the use of homogeneous languages. The debate on the potential and limits of SNL is still open and requires reflection among researchers, trainers, clinicians, and coordinators/managers of nursing care regarding the choices to be made which may have long-term effects on many nurses.</p>","PeriodicalId":516320,"journal":{"name":"Assistenza infermieristica e ricerca : AIR","volume":"43 1","pages":"16-25"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140873424","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}