Assistenza Infermieristica E Ricerca最新文献_第9页

[Does sleep flush wastes from the brain?] 睡眠能冲洗大脑中的废物吗?］

IF 1.1 4区医学

Assistenza Infermieristica E Ricerca Pub Date : 2021-04-01 DOI: 10.1702/3634.36149

A Cura Della Redazione

引用次数: 1

[The management of pain, delirium and dyspnea at home: a proposal for management algorithms]. [家庭疼痛、谵妄和呼吸困难的管理:管理算法的建议]。

IF 1.1 4区医学

Assistenza Infermieristica E Ricerca Pub Date : 2021-01-01 DOI: 10.1702/3599.35806

Pierpaolo Di Santo, Cosimo De Chirico, Stefano Paro, Cristina Bonato, Marco Artico

引用次数: 0

[For a visibility of the subjects of health as a human right/common good]. [提高卫生作为一项人权/共同利益的主题的可见度]。

IF 1.1 4区医学

Assistenza Infermieristica E Ricerca Pub Date : 2021-01-01 DOI: 10.1702/3599.35805

Gianni Tognoni

引用次数: 2

[Emerging ethical issues in clinical practice: a regional survey]. [临床实践中出现的伦理问题:一项区域调查]。

IF 1.1 4区医学

Assistenza Infermieristica E Ricerca Pub Date : 2021-01-01 DOI: 10.1702/3599.35802

Giuliana Pitacco, Nadia Urli, Sandro Centonze, Alberto Ferrazzano, Sandra Santarossa, Maria Grazia Valentini, Paola Ponton

{"title":"[Emerging ethical issues in clinical practice: a regional survey].","authors":"Giuliana Pitacco, Nadia Urli, Sandro Centonze, Alberto Ferrazzano, Sandra Santarossa, Maria Grazia Valentini, Paola Ponton","doi":"10.1702/3599.35802","DOIUrl":"https://doi.org/10.1702/3599.35802","url":null,"abstract":". Emerging ethical issues in clinical practice: a regional survey.Introduction: In 2016, the Friuli Venezia Giulia Region established the Clinical Ethics Committees in every health agency of the Region. To initiate a proactive way of \"doing ethics\" giving voice to those who face clinical-ethical problems, a survey was carried out in six health agencies.Aim: To identify the most relevant ethical issues.Methods: Survey through self-administered questionnaires, which explore: a) the ethical dimension of work in health care; b) situations of potential moral conflict; c) death and dying; (d) how ethical issues are handled and the role of ethic committees.Results: 2.774 questionnaires were collected. Almost all respondents (97%) consider ethics an integral dimension of the health profession; 35% report a lack of education on bioethic issues. Behaviors that generated moral suffering (lack of respect of patients as persons 43%; aggressive medical treatment 29%). End-of-life ethical issues were the most controversial wellas the discharge of not self-sufficient patients without a social network. Restraints use was a source of conflict; receive education on; 60% of health professionals did receive education on death and dying death and dying; 51% felt inadequate in dealing with these issues. Only 8% referred to use ethical advice.Conclusions: Ethical Committees could play a role in fostering debate, proposing methods for detecting, describing and analysing ethical dilemmas, to supporting professionals in difficult clinical choices.","PeriodicalId":55447,"journal":{"name":"Assistenza Infermieristica E Ricerca","volume":"40 1","pages":"4-19"},"PeriodicalIF":1.1,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38942028","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

[Evaluation of self-perceived competence among Family and Community Nurses who attained the Master's Degree at the University of Eastern Piedmont (2013-2019):an exploratory survey]. 东皮埃蒙特大学硕士家庭和社区护士自我感知能力评价(2013-2019):一项探索性调查。

IF 1.1 4区医学

Assistenza Infermieristica E Ricerca Pub Date : 2021-01-01 DOI: 10.1702/3599.35804

Sara Bidone, Barbara Pagano, Jacopo Garlasco

{"title":"[Evaluation of self-perceived competence among Family and Community Nurses who attained the Master's Degree at the University of Eastern Piedmont (2013-2019):an exploratory survey].","authors":"Sara Bidone, Barbara Pagano, Jacopo Garlasco","doi":"10.1702/3599.35804","DOIUrl":"https://doi.org/10.1702/3599.35804","url":null,"abstract":". Evaluation of self-perceived competence among Family and Community Nurses who attained the Master's Degree at the University of Eastern Piedmont (2013-2019): an exploratory survey.Background: The family and community nurse (fcn) is a recent profession identified by the World Health Organization with the role of coordinating district health and social care. University training courses have been launched to prepare future FCNs.Aims: To evaluate self-perceived competences to be implemented at individual, family and community care among levels, of FCNs who attained the Master Degree at the University of Eastern Piedmont between 2013 and 2019.Methods: All the 73 FCNs were sent an online questionnaire, with questions exploring the self-perceived competence levels in each item of FCNs' domain. Possible differences due to educational level and place of employment were analysed using Fisher's exact test; the Mantel-Haenszel test was used to control for confounding.Results: A total of 49 FCNs, aged 25-57 years, completed in the questionnaire. Overall, FCNs reported high skills in individual care, but much lower skills at the community level, especially in setting short-term and long-term goals (high-level responses: 79.6-83.7% for individual vs 34.7-42.9% in the community) and in acting as an agents of change (91.8% vs 38.8%, respectively). Further significant differences emerged by education and place of work.Discussion: FCN education programmes are crucial for complexity training: while courses seem to provide a sound theoretical basis, perceived competence is lower in the field, especially at community level. Further studies could provide more suggestions for tailoring future courses for FCNs.","PeriodicalId":55447,"journal":{"name":"Assistenza Infermieristica E Ricerca","volume":"40 1","pages":"30-38"},"PeriodicalIF":1.1,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38942034","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

[Thoughts -to be seriously- considered for a very important year]. [想法-认真地-考虑在非常重要的一年]。

IF 1.1 4区医学

Assistenza Infermieristica E Ricerca Pub Date : 2021-01-01 DOI: 10.1702/3599.35801

A Cura Della Redazione

引用次数: 0

[Nurses' perception of the organisational context of nursing homes: a descriptive study]. [护士对养老院组织环境的看法:一项描述性研究]。

IF 1.1 4区医学

Assistenza Infermieristica E Ricerca Pub Date : 2021-01-01 DOI: 10.1702/3599.35803

Alessio Conti, Sara Campagna, Marco Clari, Maria Michela Gianino, Valerio Dimonte

{"title":"[Nurses' perception of the organisational context of nursing homes: a descriptive study].","authors":"Alessio Conti, Sara Campagna, Marco Clari, Maria Michela Gianino, Valerio Dimonte","doi":"10.1702/3599.35803","DOIUrl":"https://doi.org/10.1702/3599.35803","url":null,"abstract":". Nurses' perception of the organisational context of nursing homes: a descriptive study.Introduction: The increasing number of the elders admitted to nursing homes (NH) requires a particular emphasis on improving the quality of nursing care. The evaluation of the organizational context has recently received growing interest, for its contribution to understanding of care outcomes and staff's needs.Aim: To describe the characteristics and the nurses'perception of organizational context of NHs in which they work.Methods: A cross-sectional study was conducted in 50 NHs in the Piedmont and Aosta Valley regions. The following data were collected: sociodemographic information on nurses, years of work experience, contract type, and work-hour profile; organizational information included ownership, size, occupancy rate; and for the organizational context, the Alberta Context Tool was administered.Results: Of the 312 nurses, 266 (85%) participated in the study; 79% had a university degree. Perceived organisational context scored low (median values 2.5) in terms of the availability of Interactions (Formal and Informal), Resources, Personnel and time, but good with median values above 3.5/5 on Leadership, Culture, Evaluation, Social Capital and Space, with differences according to years of experience, type and size of facility; for example, nurses working in private facilities perceived their organisational context as better than those working in public facilities.Conclusions: NHs are workplaces that are still not frequently chosen by nurses and essentially considered as places of transition or end of the career. In spite of organizational contexts perceived as positive, tangible efforts are needed to improve working conditions and the perception of nurses' role.","PeriodicalId":55447,"journal":{"name":"Assistenza Infermieristica E Ricerca","volume":"40 1","pages":"20-29"},"PeriodicalIF":1.1,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38942029","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

[A cultural meta-analysis for post Covid-19 times]. [后Covid-19时代的文化荟萃分析]。

IF 1.1 4区医学

Assistenza Infermieristica E Ricerca Pub Date : 2020-10-01 DOI: 10.1702/3508.34954

Gianni Tognoni

{"title":"[A cultural meta-analysis for post Covid-19 times].","authors":"Gianni Tognoni","doi":"10.1702/3508.34954","DOIUrl":"https://doi.org/10.1702/3508.34954","url":null,"abstract":"A cultural meta-analysis for post Covid-19 times. The professional and human experience of the still ongoing emergency which has transformed the structure itself of the lives of world countries has generated a very large and fragmented spectrum of mainly descriptive and narrative publications (from inside the professions involved, as well as on the impact of the pandemia on the society) which defy any tentative of comprehensive understanding. This contribution proposes the results of an unusual, possibly provocative, metanalytic approach adapted to assess the existence, if any, of general evidences which could be assumed as a take home message of the heterogeneous, highly rich, mainly qualitative materials which have been produced so far: on the care aspects of the pandemia as well as on its more general significance for and impact on the society. The predefined biases and limitations of this approach (defined as cultural, i.e.which tries to provide an overall picture beyond the details) are declared to introduce and justify the outcome results of the exercise: a series of keywords is presented and commented as a guide into the future of a nursing profession ready and willing to have a more autonomous and innovative professional identity in the health care scenario and in the society.","PeriodicalId":55447,"journal":{"name":"Assistenza Infermieristica E Ricerca","volume":"39 4","pages":"205-210"},"PeriodicalIF":1.1,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38750728","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

[Decision Making process and missed nursing care: findings from a scoping review]. [决策过程和错过护理:来自范围审查的发现]。

IF 0.8 4区医学

Assistenza Infermieristica E Ricerca Pub Date : 2020-10-01 DOI: 10.1702/3508.34952

Luisa Sist, Alvisa Palese

{"title":"[Decision Making process and missed nursing care: findings from a scoping review].","authors":"Luisa Sist, Alvisa Palese","doi":"10.1702/3508.34952","DOIUrl":"10.1702/3508.34952","url":null,"abstract":". Decision Making process and missed nursing care: findings from a scoping review.Introduction: Several aspects of the Missed Care (MNC) model have been studied (conceptual aspects, causes, process, measurement instruments, outcomes) however, the decision-making processes influencing the MNC have not yet been settled into an accessible guide.Objective: To describe (a) the terms most used in the literature to define the decision-making processes influencing the MNC, (b) the conceptual models, as well as (c) the available tools.Method: A scoping review was carried out in March-August 2020 by consulting the following databases: Cochrane Library, Pubmed, Scopus, CINAHL Complete, PsycINFO. Of the 385 retrieved studies, 92 abstracts were evaluated and 36 studies included.Results: Four terms are used to address the process of nursing intervention delivered on time, postponed or missed: (a) Priority setting; (b) Prioritisation of clinical care; (c) Implicit rationing; and (d) Time scarcity. While the lack of time expresses the common denominator, a substantial difference emerges between priority setting and rationing: the first establishes a preferential sequence of activities with the result of delaying those less significant; the second leads to unfinished nursing care. Decision models to date have not considered the processes influencing MNC; therefore, the available measurement instruments are also of little use.Conclusions: The decision-making processes underlying MNC have not yet been well understood, and described using different terms. Reliable instruments to measure them are still lacking.","PeriodicalId":55447,"journal":{"name":"Assistenza Infermieristica E Ricerca","volume":"39 4","pages":"188-200"},"PeriodicalIF":0.8,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38750725","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

[The development of a hospital service for planning and organizing the care of cancer patients in the staging phase: the example of Novara hospital]. [发展规划和组织癌症患者分期护理的医院服务:以Novara医院为例]。

IF 1.1 4区医学

Assistenza Infermieristica E Ricerca Pub Date : 2020-10-01 DOI: 10.1702/3508.34950

Carla Rigo, Edit Shahi, Cristina Torgano

{"title":"[The development of a hospital service for planning and organizing the care of cancer patients in the staging phase: the example of Novara hospital].","authors":"Carla Rigo, Edit Shahi, Cristina Torgano","doi":"10.1702/3508.34950","DOIUrl":"https://doi.org/10.1702/3508.34950","url":null,"abstract":". The development of a hospital service for planning and organizing the care of cancer patients in the staging phase: the example of Novara hospital.Introduction: Any disease, but specifically cancer, creates anxiety and patients enter a new path where they need to be accompanied.Aims: To describe the organisation of a reception and service centre (CAS) for cancer patients at the Novara Hospital.Methods: The Piedmont Oncology Network has set up the CAS, but each hospital, following common principles, has organised its own CAS, based on the collaborations and resources made available.Results: Since 2015 the following services have been activated in the CAS of Novara: a nursing assessment chart (available in the computerised patient documentation system); the regular monitoring of cancer patients that access to the hospital and the times needed to carry out examinations and to organize exams and visits; a nursing clinic for the insertion of central venous catheters; a counter under the responsibility of the local patronages for support in bureaucratic procedures; an app has been created to make information available and allow patients direct contact with the service.Conclusions: There is still room for improvement but our experience shows that it is possible to create and operate services to accompany the patient through the path of illness and guarantee the right to be cared for.","PeriodicalId":55447,"journal":{"name":"Assistenza Infermieristica E Ricerca","volume":"39 4","pages":"173-178"},"PeriodicalIF":1.1,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38749699","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