Assistenza Infermieristica E Ricerca最新文献_第6页

[Why we need twitter]. (为什么我们需要twitter)。

IF 1.1 4区医学

Assistenza Infermieristica E Ricerca Pub Date : 2022-01-01 DOI: 10.1702/3785.37703

I. Mansutti, Davide Caruzzo

引用次数: 1

[A three-months follow up of a randomized controlled trial of Assisted Walking Program for in-hospital geriatric patients]. [对住院老年患者辅助行走项目的随机对照试验进行为期三个月的随访]。

IF 1.1 4区医学

Assistenza Infermieristica E Ricerca Pub Date : 2022-01-01 DOI: 10.1702/3785.37702

Lea Godino, E. Ambrosi, R. Decaro, L. Sist, P. Calogero, Daniel Pinto, P. Chiari, M. Zoli, Domenica Gazineo

{"title":"[A three-months follow up of a randomized controlled trial of Assisted Walking Program for in-hospital geriatric patients].","authors":"Lea Godino, E. Ambrosi, R. Decaro, L. Sist, P. Calogero, Daniel Pinto, P. Chiari, M. Zoli, Domenica Gazineo","doi":"10.1702/3785.37702","DOIUrl":"https://doi.org/10.1702/3785.37702","url":null,"abstract":". A three-months follow up of a randomized controlled trial of Assisted Walking Program for in-hospital geriatric patients. INTRODUCTION Functional decline is common among older hospitalized patients. In fact, low mobility and bed rest during hospitalization have been considered as predictable causes of independent ambulation decline in older hospitalized patients. AIM PRIMARY ENDPOINT the older patients' walking ability change, compared with usual care, from hospital pre-admission/admission to discharge and 90 days follow-up, assessed with the Braden Activity subscale. The secondary end point was the occurrence of re-hospitalization and mortality. METHODS A 90-days follow-up randomized controlled trial, open labeled was conducted in a geriatric ward. RESULTS A total of 307 hospitalized patients (>65 years) were included. The intervention group received an Individualized Assisted Walking Program (IAWP), which significantly improved walking ability at discharge (p<.001) and 90-day follow-up (p=0.009), compared to the control group, which received the usual care. There were no significant differences in terms of mortality and re-hospitalizations. CONCLUSIONS An individualized assisted walking program improves walking abilitiy during hospitalization and over time. For this, a nurse staffing and workload reorganization, a multidisciplinary approach, and an early nurses' planning, could be relevant factors in influencing successfully the older patients' healthcare.","PeriodicalId":55447,"journal":{"name":"Assistenza Infermieristica E Ricerca","volume":"41 1 1","pages":"23-32"},"PeriodicalIF":1.1,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67580762","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Measuring the nursing workload in a medical-surgical high dependency unit through nursing activities score (NAS). A prospective observational study]. [应用护理活动评分法(NAS)衡量医外科高依赖病房护理工作量。]一项前瞻性观察研究]。

IF 1.1 4区医学

Assistenza Infermieristica E Ricerca Pub Date : 2022-01-01 DOI: 10.1702/3785.37700

Carolina Forciniti, A. Lucchini, Luca Pietrini, L. Rasero, S. Bambi

{"title":"[Measuring the nursing workload in a medical-surgical high dependency unit through nursing activities score (NAS). A prospective observational study].","authors":"Carolina Forciniti, A. Lucchini, Luca Pietrini, L. Rasero, S. Bambi","doi":"10.1702/3785.37700","DOIUrl":"https://doi.org/10.1702/3785.37700","url":null,"abstract":". Measuring the nursing workload in a medical-surgical high dependency unit through nursing activities score (NAS). a prospective observational study. INTRODUCTION Measuring the nursing staff workload allows adequate delivery of resources within the intensive care unit and high dependency unit to ensure an adequate nurse to patient ratio. AIM Exploring the nursing workload in the medical-surgical high dependency unit (HDU) at Careggi University Hospital (Florence, Italy). METHODS Monocentric prospective observational study. We enrolled patients admitted in HDU from 11 February to 13 March 2021. Nursing Activity Score (NAS) was measured every 24 hours. RESULTS Patients included in the study were 75. Three groups based on their admission diagnosis were identified (medical, surgical, trauma). The median NAS score was 59.7 (IQR: 53.7-68.2; range 34.7-119.7). Statistically significant differences were found between the median NAS values for the three admission diagnoses: 67.4 (IQR: 54.4-73.4) for medical patients, 60.2 (IQR: 54.4-63.3) for trauma patients and 59.1 (IQR: 55.1-64.7) for surgical patients. These results showed that the items of NAS that mostly affect workload are \"monitoring\", \"mobilization\", \"patient hygiene\", and \"admission and discharge procedures\". CONCLUSIONS This study confirms that the NAS scoree can be used in HDUs as well as in intensive care units. The ideal nurse-to-patient ratio was equal to 0.6.","PeriodicalId":55447,"journal":{"name":"Assistenza Infermieristica E Ricerca","volume":"41 1 1","pages":"6-14"},"PeriodicalIF":1.1,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67580788","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

[There are no ways to peace: peace is the way]. 没有通往和平的道路，和平本身就是道路。

IF 1.1 4区医学

Assistenza Infermieristica E Ricerca Pub Date : 2022-01-01 DOI: 10.1702/3785.37699

A. Cura Della Redazione

引用次数: 0

[Productive Ward: Releasing Time to Care™. A qualitative, ward-based team perspective.] [高效病房:腾出时间照顾™。]一个定性的，基于ward的团队视角。

IF 1.1 4区医学

Assistenza Infermieristica E Ricerca Pub Date : 2021-10-01 DOI: 10.1702/3743.37262

Tony Butterworth, Mark White

引用次数: 0

[Nosocomial infections during the COVID-19 outbreak. Observational study in an Italian ICU]. [COVID-19爆发期间的医院感染]。意大利ICU的观察性研究]。

IF 1.1 4区医学

Assistenza Infermieristica E Ricerca Pub Date : 2021-10-01 DOI: 10.1702/3743.37259

Vincenzo Damico, Alberto Dal Molin, Liana Murano, Viola Margosio, Erica Busca, Clara Ripamonti

{"title":"[Nosocomial infections during the COVID-19 outbreak. Observational study in an Italian ICU].","authors":"Vincenzo Damico, Alberto Dal Molin, Liana Murano, Viola Margosio, Erica Busca, Clara Ripamonti","doi":"10.1702/3743.37259","DOIUrl":"https://doi.org/10.1702/3743.37259","url":null,"abstract":". Nosocomial infections during the COVID-19 outbreak. Observational study in an Italian ICU.Introduction: Infections are common among ICU patients.Aim: The purpose of this study is to examine the incidence of nosocomial infections among patients admitted to the ICU with SARS-CoV-2 infection.Methods: A prospective observational study in adults with confirmed SARS-CoV-2 infection requiring intensive care unit (ICU) admission was performed. From May 2020 to October 2021, a total of 109 admitted patients were included.Results: The incidence rate of new infections was 39.4%. The main infections observed were multidrug-resistant germs infections (39.5%), catheter-related blood infections(24.4%), pneumonia (VAP)(18.6%), and urinary tract infections (17.4%). The overall mortality rate was 32.1% (n= 35) and was significantly higher in patients who had a new infection during hospitalization (n= 26/43, 60.4%) than in patients who did not have a new infection (n= 9/66, 13.6%) (RR = 4.43; 95% CI = 2.31-8.52; p <.001).Conclusions: Our data suggest that secondary infections are associated with a longer duration of mechanical ventilation and hospital stay and may negatively impact patient survival. However, larger studies are needed.","PeriodicalId":55447,"journal":{"name":"Assistenza Infermieristica E Ricerca","volume":"40 4","pages":"205-212"},"PeriodicalIF":1.1,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39903075","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

[Introducing clinical nurse specialists (CNS) in the ambulatory setting: the experience of a Research Cancer Center in Italy.] 【介绍门诊环境中的临床护理专家(CNS):意大利癌症研究中心的经验】

IF 1.1 4区医学

Assistenza Infermieristica E Ricerca Pub Date : 2021-10-01 DOI: 10.1702/3743.37258

Anita Zeneli, Sabrina Prati, Monica Golinucci, Marina Bragagni, Sandra Montalti

{"title":"[Introducing clinical nurse specialists (CNS) in the ambulatory setting: the experience of a Research Cancer Center in Italy.]","authors":"Anita Zeneli, Sabrina Prati, Monica Golinucci, Marina Bragagni, Sandra Montalti","doi":"10.1702/3743.37258","DOIUrl":"https://doi.org/10.1702/3743.37258","url":null,"abstract":". Introducing clinical nurse specialists (CNS) in the ambulatory setting: the experience of a Research Cancer Center in Italy.Introduction: In 2018 the role of clinical nurse specialist (CNS) was implemented in an ambulatory setting at our cancer institute.Objectives: To describe the CNS role implementation and the indicators to measure and the impact of the CNS after one year.Methods: Indicators for the implementation: CNS interface mapping in disease pathways, participation in multidisciplinary team (MDT) meetings, and number of training hours per CNS on specific cancers. Indicators for the impact: patient satisfaction with CNS (survey), compliance with for waiting times for the first visit, number of documented CNS-patient communications and number of improvement projects in which CNSs were involved.Results: One year after CNS introduction, pathway mapping was 100%; MDT meeting participation 95%; training hours 40.5/CNS vs. standard 30 hours; 83.2% of interviewed patients were very satisfied with CNSs. On average 27 face to face and 126 phone interviews per month were performed. The number of first visits increased of 13% componed to the previous year.Conclusions: CNSs were successfully introduced into disease pathways and played an active role in the MDTs. The positive impact observed suggests that this new role could represent a response to the need to design patient centered services for cancer diseases. Measuring the CNSs activities and their impact on the patient outcomes and on system efficiency is the key for defining nursing staffing standards in the disease pathways, tailored on patients and organization characteristics.","PeriodicalId":55447,"journal":{"name":"Assistenza Infermieristica E Ricerca","volume":"40 4","pages":"194-204"},"PeriodicalIF":1.1,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39903073","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

[Radial artery occlusion after a radial access procedure: pilot study comparing eco Doppler and Inverse Barbeau Test assessments]. [桡动脉通路手术后的桡动脉闭塞:比较生态多普勒和逆Barbeau测试评估的初步研究]。

IF 1.1 4区医学

Assistenza Infermieristica E Ricerca Pub Date : 2021-10-01 DOI: 10.1702/3743.37260

Mariangela Alberti, Gabriele Bucca, Alberto Somenzi, Antonio Mellino, Stefania Gamberini, Buono Daniele, Fernanda Giancola, Alice Bonomi, Massimo Moro

{"title":"[Radial artery occlusion after a radial access procedure: pilot study comparing eco Doppler and Inverse Barbeau Test assessments].","authors":"Mariangela Alberti, Gabriele Bucca, Alberto Somenzi, Antonio Mellino, Stefania Gamberini, Buono Daniele, Fernanda Giancola, Alice Bonomi, Massimo Moro","doi":"10.1702/3743.37260","DOIUrl":"https://doi.org/10.1702/3743.37260","url":null,"abstract":". Radial artery occlusion after a radial access procedure: pilot study comparing eco Doppler and Inverse Barbeau Test assessments.Introduction: Radial artery occlusion (RAO) after a radial access procedure can compromise the distal flow and hamper any possible reuse of the radial artery. Ultrasound examination is the gold standard for identifying RAO, but requires special equipment and expertise. An indirect test to estimate radial flow is the Inverse Barbeau Test (IBT), which evaluates the radial oximetry waveform during ulnar artery compression.Aim: To determine the incidence of RAO and to compare the results obtained with the ultrasound and IBT tests.Methods: Between November 2017 and February 2018, 50 patients undergoing radial access angiography were enrolled. Radial flow was assessed using both ultrasound and IBT, at three times: before the procedure (T0), at 24 hours (T1) and at 30 days (T2).Results: The incidence of RAO obtained by ultrasound was no cases at T0, 3 (6%) at T1 and 1 (2.4%) at T2. IBT identified 14 (28%), 33 (66%) and 10 (23.8%) cases respectively. Some cases with no occlusion with the ultrasounds, 14 (28%), 30 (60%) and 9 (21.4%) respectively, resulted occluded by IBT.Conclusions: The incidence of RAO is comparable to that reported in the literature (<10%). The IBT correctly identifies the presence of flow, but overestimates radial occlusion.","PeriodicalId":55447,"journal":{"name":"Assistenza Infermieristica E Ricerca","volume":"40 4","pages":"213-220"},"PeriodicalIF":1.1,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39903074","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

[The Productive Ward programme to provide high quality care: findings from a scoping review]. [提供高质量护理的生产性病房计划:范围审查的结果]。

IF 0.8 4区医学

Assistenza Infermieristica E Ricerca Pub Date : 2021-10-01 DOI: 10.1702/3743.37261

Elisa Ruatti, Matteo Danielis, Alvisa Palese

{"title":"[The Productive Ward programme to provide high quality care: findings from a scoping review].","authors":"Elisa Ruatti, Matteo Danielis, Alvisa Palese","doi":"10.1702/3743.37261","DOIUrl":"10.1702/3743.37261","url":null,"abstract":". The Productive Ward programme to provide high quality care: findings from a scoping review.Introduction: The Productive Ward: Releasing Time to CareTM is a ward processes- and environments- improvement program intended to help nurses to spend more time on patient care, thus promoting patient safety.Aims: To define the state-of-science in research on the Productive Ward (PW) program, the set of outcomes documented to date, as well as the factors facilitating or hindering its implementation in practice.Methods: A scoping review based on the framework proposed by Levac et al. in 2010, further refined by the Joanna Briggs Institute in 2017, was performed on 2021. Methods and findings have been reported according to the Preferred Reporting Items for Systematic reviews and Meta-Analyses - Scoping Reviews statement.Results: 11 studies have been published from 2014 to 2021, mainly in Europe and England. According to the findings, the PW program has an impact on nurses, patients and the organization. Factors facilitating the PW programme implementation rely on engaging communication, the leadership, the organizational and the managerial support, the additional human and financial resources as well as on the feature of the context and its culture. Resistance to change is the most investigated barrier of PW implementation.Conclusions: Although limited, the evidence suggests that the PW experiences are positive. Factors facilitating and hindering the implementation suggest a map of possible elements to consider before and during the implementation process.","PeriodicalId":55447,"journal":{"name":"Assistenza Infermieristica E Ricerca","volume":"40 4","pages":"221-232"},"PeriodicalIF":0.8,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39764964","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Welcome]. (欢迎)。

IF 1.1 4区医学

Assistenza Infermieristica E Ricerca Pub Date : 2021-10-01 DOI: 10.1702/3743.37264

Marco Calabria, Gianluca Carmosino, Riccardo Troisi

引用次数: 0