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Risk Management of Workplace Violence against Healthcare Workers. The experience of a Local Health Authority of Italian National Service. 工作场所暴力侵害医务工作者的风险管理。意大利国家服务机构地方卫生当局的经验。
Igiene e sanita pubblica Pub Date : 2025-07-01
Simona Amato, Anna Maria Lombardi, Claudio Bontempi, Livio Cortese, Rocco Bulzomì, Laura Ricciardi, Alessandra Gramiccia, Anna Aniuskevich
{"title":"Risk Management of Workplace Violence against Healthcare Workers. The experience of a Local Health Authority of Italian National Service.","authors":"Simona Amato, Anna Maria Lombardi, Claudio Bontempi, Livio Cortese, Rocco Bulzomì, Laura Ricciardi, Alessandra Gramiccia, Anna Aniuskevich","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Workplace violence is a worldwide problem with a higher incidence in sectors requiring intense human interactions, of which the healthcare sector is a prominent example. In Italy, hospital violence is common, especially among psychiatrists, who have been reported at high risk for verbal aggression, injuries, threats with dangerous objects, stalking, and physical aggression. The objectives of this study are the following: to describe the four-year incidence of aggressive acts against all healthcare workers of the ASL Roma 2, exploring the experience of healthcare workers with aggression using a form completed within 72 hours of the aggressive act, to identify the type of event reported, discipline/area of care involved, location of the event, outcome of the event and to identify potential risk factors associated with aggressive acts.</p>","PeriodicalId":73329,"journal":{"name":"Igiene e sanita pubblica","volume":"97 4","pages":"219-229"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145508362","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}
引用次数: 0
Use of ozonated water in hospital food services. 在医院食物供应中使用臭氧水。
Igiene e sanita pubblica Pub Date : 2025-07-01
Pietro Manzi, Cinzia Mari, Maria Luisa Mugnari, Roberto Lombardi
{"title":"Use of ozonated water in hospital food services.","authors":"Pietro Manzi, Cinzia Mari, Maria Luisa Mugnari, Roberto Lombardi","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Ozonated water, produced by special generators, is a versatile and sustainable disinfectant solution with numerous advantages. The generators use electrical discharges or electrolysis to convert tap water into an ozone-rich solution (O₃), a powerful oxidant, which expresses microbicidal action against bacteria, viruses, fungi and spores. In the food industry, ozonated water improves food safety, quality, and preservation. It is effective against pathogens such as salmonella and listeria, reduces pesticides, increases shelf life, and can improve organoleptic characteristics. Ozonated water is used to disinfect vegetables and protein raw materials, and to inhibit the development of fungi and molds. Ozone generators have low energy consumption and operate at low temperature. Ozonated water does not require rinsing, reducing water waste. Ozonated water production is environmentally friendly, leaving no chemical residue and decomposing into oxygen. Ozonated water is a viable alternative to chemical disinfectants, improving the safety and sustainability of hygiene practices. This paper discusses the experience at the Terni Emergency Hospital , where a significant experience was carried out by installing an stabilized ozonated water generator and using it as part of the food production process.</p>","PeriodicalId":73329,"journal":{"name":"Igiene e sanita pubblica","volume":"97 4","pages":"167-179"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145508305","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}
引用次数: 0
Reasons of home births in the Hausa community in the peri-urban area of Mfou, Cameroon. 喀麦隆姆富城郊豪萨社区在家分娩的原因。
Igiene e sanita pubblica Pub Date : 2025-07-01
André Izacar Gaël Bita, Marie Thérèse Yolande Nga Ngoumou, Wilfried Durand Ngandjouong, Bienvenu Avina Avina
{"title":"Reasons of home births in the Hausa community in the peri-urban area of Mfou, Cameroon.","authors":"André Izacar Gaël Bita, Marie Thérèse Yolande Nga Ngoumou, Wilfried Durand Ngandjouong, Bienvenu Avina Avina","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>Home births (HBs) have a negative impact on maternal mortality, particularly in rural areas and regions where this practice is widespread. HBs are common in the northern of Cameroon and in communities in other Cameroonian cities where internal migrants from the northern and immigrants from the Central African Republic live. This study aims to describe the reasons for HB among women living in the Hausa neighbourhood of the Mfou health district in centre region of Cameroon.</p><p><strong>Materials and methods: </strong>This is a descriptive study conducted among mothers residing and giving birth at home in the Hausa neighbourhood of the Mfou health district. With the help of a local guide, a comprehensive list of mothers known to have given birth at home at least once was compiled. The data collected during individual interviews using a questionnaire were entered and analyzed using Epi Info 7 software.</p><p><strong>Results: </strong>A total of 57 mothers who had already given birth at home at least once were surveyed. The results show that, mothers in the Hausa neighbourhood mostly choose HBs because of the high cost of care in health centers (29.8%) and fear of going there (21%). Many of them feel in good health during home birth but lack confidence in their ability to give birth alone (73.8%). Despite the proximity of health centers (less than 5 km for 87%), 70% have no means of transportation, and nearly half have had a bad experience related to cost or quality of service. The choice of where to give birth is influenced by family and traditions, according to mothers. Mothers are calling for lower healthcare costs, greater respect for patients, and more information about the signs of labor during pregnancy.</p><p><strong>Conclusion: </strong>Despite the proximity of health centers, economic, social, and cultural barriers lead many mothers in the Hausa neighbourhood to prefer home births, thereby limiting access to safe care. It is crucial to reduce costs of care, improve reception services while taking traditions into account, and raise awareness and improve transportation options to encourage births in health facilities.</p>","PeriodicalId":73329,"journal":{"name":"Igiene e sanita pubblica","volume":"97 4","pages":"208-218"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145508300","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}
引用次数: 0
Quality of Life Improvement in Rehabilitation. A challenge in Public Health. A case report. 康复治疗中生活质量的改善。公共卫生方面的挑战。一份病例报告。
Igiene e sanita pubblica Pub Date : 2025-07-01
Fabio Romaldini, Claudia Tacconi, Matteo De Santis, Maria Rita Molinari, Daniela Vaglio
{"title":"Quality of Life Improvement in Rehabilitation. A challenge in Public Health. A case report.","authors":"Fabio Romaldini, Claudia Tacconi, Matteo De Santis, Maria Rita Molinari, Daniela Vaglio","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>Lymphedema is one of the most frequent and disabling complications following surgical treatment for breast cancer, with a global prevalence that varies depending on associated therapies such as radiotherapy and chemotherapy. This condition significantly affects patients' quality of life by limiting upper limb function and causing symptoms such as pain, heaviness, reduced mobility, and difficulties in performing daily activities. Currently, Complex Decongestive Therapy (CDT), consisting of manual lymphatic drainage, multilayer bandaging, therapeutic exercise, and flat-knit compression garments, represents the gold standard for management. However, in recent years, there has been growing interest in complementary strategies that may help maintain the benefits of CDT. Among these, aquatic immersion has shown promise due to the effects of hydrostatic pressure.</p><p><strong>Objective: </strong>This case report aims to evaluate the effect of hydrostatic pressure during a recreational scuba dive on symptoms and functional parameters in a patient with right upper limb lymphedema secondary to breast cancer.</p><p><strong>Case presentation: </strong>A 51-year-old woman with post-surgical lymphedema following right breast invasive carcinoma resection. The patient underwent cycles of chemotherapy and radiotherapy. She has been receiving annual courses of Complex Decongestive Therapy (CDT) and consistently uses a custom flat-knit compression garment for maintenance.</p><p><strong>Materials and methods: </strong>A recreational scuba diving session was performed at an average depth of 10 meters for a duration of 35 minutes. Assessments were conducted at three time points, including limb circumference, segmental volume, and upper limb range of motion (ROM). Patient-reported outcomes were also collected regarding perceived fatigue, pressure sensation, pain intensity, heaviness, and overall satisfaction with the proposed activity.</p><p><strong>Results: </strong>The intervention resulted in a reduction of limb volume and circumference, which was maintained over time, along with an increase in ROM of the affected upper limb. The patient also reported reduced perceived exertion during the activity and expressed a high level of satisfaction, noting an improved sense of lightness and mobility.</p><p><strong>Conclusions: </strong>Although limited to a single case, these findings suggest that recreational scuba diving may serve as a valuable complementary approach to CDT, supporting the maintenance of therapeutic benefits and contributing to patients' physical and psychological well-being. Further research with larger cohorts is needed to confirm the efficacy and safety of this innovative intervention.</p>","PeriodicalId":73329,"journal":{"name":"Igiene e sanita pubblica","volume":"97 4","pages":"230-235"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145508257","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}
引用次数: 0
The Learning Transfer System Inventory (LTSI) in the management of Healthcare-Associated Infections (HAIs): a cross- sectional survey in the AST of Ascoli Piceno. 学习迁移系统量表(LTSI)在医疗保健相关感染(HAIs)管理中的作用:一项对阿科利皮诺AST的横断面调查。
Igiene e sanita pubblica Pub Date : 2025-07-01
Gloria D'Angelo, Stefano Marcelli, Chiara Gatti, Isabella Baglioni, Stefania Liberati, Monia Fontana, Carla Cremonini
{"title":"The Learning Transfer System Inventory (LTSI) in the management of Healthcare-Associated Infections (HAIs): a cross- sectional survey in the AST of Ascoli Piceno.","authors":"Gloria D'Angelo, Stefano Marcelli, Chiara Gatti, Isabella Baglioni, Stefania Liberati, Monia Fontana, Carla Cremonini","doi":"","DOIUrl":"","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Healthcare-Related Infections (ICA) concern those infections \"contracted during care, in any hospital or community health or social care setting\". Given their incidence, the scientific community has invested in the Infection Prevention and Control Nurse (IPCN) as the figure assigned to the control of ICA, whose advanced and continuously updated training is fundamental for the promotion of good practices and the management of infectious emergencies. In this regard, ICA prevention requires an evidence-based strategy, contributing to patient safety, risk management and the promotion of a quality culture in healthcare facilities.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Objectives: &lt;/strong&gt;The purpose of this work is to evaluate the educational impact of a blended learning course on nurses of the Azienda Sanitaria Territoriale (AST) of Ascoli Piceno by means of a validated questionnaire in order to understand the effectiveness of the training policies transposed at a national level and to orientate future continuous training strategies in the healthcare setting.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Materials and methods: &lt;/strong&gt;The descriptive, cross-sectional, single-centre observational study was conducted from 1 April to 31 May 2025 involving nurses belonging to the AST Hospital of Ascoli Piceno, according to a convenience sampling. Data collection was carried out by means of a validated questionnaire consisting of a personal data section and 32 items on a Likert scale. Statistical analyses were carried out by means of Microsoft 365 software with the use of the Excel® spreadsheet and the R studio statistical software, respecting the confidentiality of personal data and adhering to the indications provided by the Good Clinical Practice standards.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;222 questionnaires out of the 309 distributed were analysed, with a Response Rate (RR) of 71.8%, predominantly female nurses. The inferential analysis, performed by means of Spearman correlation (rho), revealed statistically significant associations with a p-value &lt;0.05 between the years of professional nursing experience with the expectation, on the part of colleagues, that the professional will put into practice what he or she has learnt in training activities and with the need/difficulty of finding the time to apply the new nursing methods in the O.U. in the way they should be implemented. In particular, it can be seen how the lack of human resources can hinder the nurse practitioner, in his professional experience, to use the skills acquired in the training activity appropriately.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Discussion: &lt;/strong&gt;In spite of the high motivation and perceived validity of the blended course participants, the transfer of skills into clinical practice is limited by organizational challenges, such as staff shortages and a tight budget. However, the work experience has a positive educational transfer, which stimulates the application of new knowledge and encourages colleagues.&lt;/p&gt;&lt;p&gt;&lt;st","PeriodicalId":73329,"journal":{"name":"Igiene e sanita pubblica","volume":"97 4","pages":"192-207"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145508337","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}
引用次数: 0
Water Quality in High-Altitude Facilities: Outcomes of Investigating a Mountain Territory of Northern Italy. 高海拔设施的水质:意大利北部山区调查的结果。
Igiene e sanita pubblica Pub Date : 2025-07-01
Alice Prete, Carla Palma, Erica Bino, Vincenzo Marcotrigiano, Alessandro Citiulo, Igor Campigotto, Fabio Surace, Alessia Tabacchi, Monica Tissi, Ilaria Gecchele, Anna Endrizzi, Giovanni Andrea Sava, Mattia Manzi, Damiano Comin, Andrea Gazzetta, Alberto Lovat, Osvalda De Giglio, Maria Teresa Montagna, Sandro Cinquetti
{"title":"Water Quality in High-Altitude Facilities: Outcomes of Investigating a Mountain Territory of Northern Italy.","authors":"Alice Prete, Carla Palma, Erica Bino, Vincenzo Marcotrigiano, Alessandro Citiulo, Igor Campigotto, Fabio Surace, Alessia Tabacchi, Monica Tissi, Ilaria Gecchele, Anna Endrizzi, Giovanni Andrea Sava, Mattia Manzi, Damiano Comin, Andrea Gazzetta, Alberto Lovat, Osvalda De Giglio, Maria Teresa Montagna, Sandro Cinquetti","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The mountain area preparing to host the 2026 Olympic Games will benefit from an unprecedented increase in tourism, requiring local health authorities to perform additional checks to verify that the local accommodation facilities meet hygiene requirements. The focus of this investigation were the huts that, due to their intrinsic characteristics and location, cannot always access drinking water from the public aqueduct but are often fed by private sources, snowfields or rainwater. With the aim of improving the quality of these mountain huts, the microbiological quality of water intended for human consumption was investigated, and the analytical results were compared according to the relative types of supply. A statistical analysis was conducted on 41 huts that met the inclusion criteria, proving that the water drawn from the public aqueduct was of better microbiological quality than water from other sources (p-value: 0.016).</p>","PeriodicalId":73329,"journal":{"name":"Igiene e sanita pubblica","volume":"97 4","pages":"180-191"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145508317","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}
引用次数: 0
Climate change and health: cross-sectional study on the knowledge and attitudes of health professionals. 气候变化与健康:卫生专业人员知识和态度的横断面研究。
Igiene e sanita pubblica Pub Date : 2025-05-01
Anna Arnone, Francesco Riccardo, Giovanni Gioiello
{"title":"Climate change and health: cross-sectional study on the knowledge and attitudes of health professionals.","authors":"Anna Arnone, Francesco Riccardo, Giovanni Gioiello","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>Climate change represents the greatest health threat of the twenty-first century, as it directly and indirectly affects the health and well-being of the population. During the conference chaired by the United Nations and called COP-28, the World Health Organization declared that climate change and the resulting air pollution are responsible for the deaths of about 7 million people in the world every year, of which the most affected are children, the elderly and residents of developing countries. In addition, an increase of about 250,000 additional deaths is expected each year between 2030 and 2050, with costs related to health damage of between $2 billion and $4 billion per year. Health professionals have a critical role to play in combating the health consequences of climate change. However, specific knowledge on the subject is scarcely investigated in Italy.</p><p><strong>Objectives: </strong>The study assessed the level of knowledge, attitudes and behaviours of Italian healthcare professionals with respect to climate change and its implications on health.</p><p><strong>Materials and methods: </strong>The cross-sectional study, conducted between April and August 2024, involved 162 health professionals in Campania, selected through an online self-administered questionnaire.</p><p><strong>Key findings: </strong>50% of participants reported an average level of knowledge. The main causes of climate change indicated were air pollution (83.3%) and the destruction of forests and agricultural land (64.8%). Only 39.5% believe that the actions of health workers can mitigate climate change. Among the limitations of the study are a possible selection bias and limited geographical representativeness.</p><p><strong>Conclusions: </strong>The implementation of training and awareness-raising programmes is necessary to strengthen health literacy on climate change.</p>","PeriodicalId":73329,"journal":{"name":"Igiene e sanita pubblica","volume":"96 3","pages":"111-137"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144746371","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}
引用次数: 0
Whatsapp telediagnosis of potentially malignant disorders: a cross-sectional study. 潜在恶性疾病的Whatsapp远程诊断:一项横断面研究。
Igiene e sanita pubblica Pub Date : 2025-05-01
Deepthi Tr, Smita M, Nitin Khargekar, Yeshoda Tg, Chythanniya Viswanathan, Adarsh Vj
{"title":"Whatsapp telediagnosis of potentially malignant disorders: a cross-sectional study.","authors":"Deepthi Tr, Smita M, Nitin Khargekar, Yeshoda Tg, Chythanniya Viswanathan, Adarsh Vj","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Potentially Malignant Disorders (PMD) require early diagnosis and consistent follow-up for effective management, particularly in remote areas with limited access to healthcare facilities. Telemedicine, especially through accessible platforms like WhatsApp, offers a promising solution for bridging these healthcare gaps by enabling timely diagnosis and follow-up of PMD. However, the accuracy and reliability of WhatsApp telediagnosis compared to traditional clinical evaluations require further validation.</p><p><strong>Aim & objectives: </strong>This study aimed to assess the feasibility and diagnostic accuracy of WhatsApp-based telediagnosis for PMD in comparison to in-person clinical evaluations. Objectives included evaluating inter-evaluator reliability and agreement between clinical diagnosis and telediagnosis in terms of identifying PMD.</p><p><strong>Materials and methods: </strong>200 oral lesions in 198 patients visiting with a clinical diagnosis of PMDs were recorded. This data along with the image of the lesion was submitted to two Oral Medicine specialists via WhatsApp .The images were viewed and evaluated using smart phones. First evaluator used XIOMI (MI4 ) , the second evaluator used a REDMI Note 3 . Both the evaluators had a minimum of 8 years of experience in Oral Medicine. Clinical diagnosis was compared with WhatsApp telediagnosis. Biopsy of the lesion was performed and sent for histopahological diagnosis Results: :The data was collected, fed into SPSS (IBM version 23) and subjected to descriptive and Kappa statistics.CASES INCLUDED Leukoplakia -102 Lichen planus-50 OSMF-28 Malignancy-20 DEGREE OF DYSPLASIA No dysplasia-55.1% Mild -22.4% Moderate-6.8% Severe -5% Malignancy -10.3% Clinical diagnosis of Evaluator 1 Kappa value-0.844 P value Discussion: The findings highlight the potential of WhatsApp telediagnosis to serve as a reliable and accessible diagnostic tool, especially valuable in remote and underserved areas. High agreement levels suggest that telemedicine platforms like WhatsApp can deliver comparable diagnostic accuracy to in-person evaluations. However, additional studies are needed to explore broader applications of WhatsApp telediagnosis and to refine protocols for various telemedicine practices.</p><p><strong>Conclusion: </strong>In the present study, clinical diagnosis and WhatsApp telediagonosis showed good agreement( Kappa = 0.844 and 0.891) , between evaluator 1 and 2 also showed good agreement (Kappa value =.891). • Hence Telemedicine using WhatsApp could be a valuable and feasible tool for early diagnosis and follow up of PMD, especially in remote areas where there is lack of access to health care.</p>","PeriodicalId":73329,"journal":{"name":"Igiene e sanita pubblica","volume":"96 3","pages":"138-148"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144746374","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}
引用次数: 0
Evaluating Nurse Manager Strategies for Effective Implementation of the Fundamentals of Care. 评估护士管理者有效实施护理基本原则的策略。
Igiene e sanita pubblica Pub Date : 2025-05-01
Domenico Lombardi Fortino, Attilio Massimo de Cosmo, Alvisa Palese
{"title":"Evaluating Nurse Manager Strategies for Effective Implementation of the Fundamentals of Care.","authors":"Domenico Lombardi Fortino, Attilio Massimo de Cosmo, Alvisa Palese","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>The Fundamentals of Care (FoC) framework offers a person-centered, holistic approach to nursing care by emphasizing physical, psychosocial, and relational needs within therapeutic relationships. Despite growing recognition of its relevance, systematic implementation of the FoC model remains limited due to organizational, structural, and cultural barriers. Nurse managers (coordinators) play a pivotal leadership role in promoting and integrating FoC practices within clinical settings.</p><p><strong>Objectives: </strong>To evaluate the strategies implemented by nurse managers in Italian hospitals to support the effective adoption of the FoC framework, and to explore their perceptions, knowledge, and leadership practices related to FoC.</p><p><strong>Methods: </strong>A cross-sectional descriptive study was conducted using a validated questionnaire distributed to nurse managers with Organizational Function Assignments. A purposive sampling approach was used through national scientific associations (SIDMI and CNC). Descriptive, inferential, and multivariate statistical analyses were performed using SPSS v.26. Principal Component Analysis (PCA) was applied to identify latent dimensions of leadership practices.</p><p><strong>Results: </strong>Out of 156 questionnaires received, 65 fully completed responses were analyzed. While most participants demonstrated basic knowledge of the FoC model (55.4%), only 16.9% reported having received specific training, and just 12.3% indicated institutional support for implementation. Key strategies perceived as effective included continuous staff education (65%) and regular team feedback (85%). Five principal components of leadership emerged from the PCA: empowerment, development, governance, visibility, and quality. Higher scores were associated with greater experience in the coordination role and specific training in FoC. However, systemic barriers and lack of structured support were commonly reported.</p><p><strong>Conclusions: </strong>Nurse managers are key facilitators of FoC integration in hospital settings, primarily through relational and supportive leadership. Their ability to guide teams relies on adaptable leadership styles, focused on empowerment, education, and clinical presence. Nonetheless, broader institutional investment is needed to create conditions conducive to widespread and sustainable implementation of the FoC model.</p>","PeriodicalId":73329,"journal":{"name":"Igiene e sanita pubblica","volume":"96 3","pages":"99-110"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144746372","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}
引用次数: 0
Morbidity pattern of rural agricultural workers in Chengalpattu district, Tamil Nadu, India - a cross sectional study. 印度泰米尔纳德邦Chengalpattu地区农村农业工人发病模式的横断面研究。
Igiene e sanita pubblica Pub Date : 2025-05-01
B G Shakthi Chakravarthy, Diwakar R, Mary Peter Roshni, V V Anantharaman
{"title":"Morbidity pattern of rural agricultural workers in Chengalpattu district, Tamil Nadu, India - a cross sectional study.","authors":"B G Shakthi Chakravarthy, Diwakar R, Mary Peter Roshni, V V Anantharaman","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Agricultural workers form a significant part of India's workforce, yet they face multiple occupational health hazards. Despite their contributions to food production, their health concerns remain underreported and inadequately addressed.</p><p><strong>Aims/objectives: </strong>To assess the morbidity pattern and determine the factors associated with it among agricultural workers in Chengalpattu district.</p><p><strong>Methodology: </strong>A cross sectional study was conducted among 400 agricultural workers in Chengalpattu district from July 2024 to February 2025.Multistage random sampling method was used to choose study participants.Data collection was carried out using a semi structured questionnaire.Statistical analysis was performed using SPSS version 27.</p><p><strong>Results: </strong>Mean age of the participants was 51.85 years. 49.5% were male. 43.5% were illiterate, and 41% earned less than 3000 rupees per month. Musculoskeletal disorders (71.5%), was the most prevalent followed by Skin diseases (44%), Respiratory illnesses (42%), Heat-related illnesses (40.3%). Significant associations were found between morbidity and various socio-demographic/work-related factors.</p><p><strong>Conclusions: </strong>The study highlights a high burden of occupational health issues among agricultural workers.There is an urgent need for including awareness programs, Personal protective equipment promotion, regular health screenings, and improved working conditions to safeguard the well-being of agricultural workers.</p>","PeriodicalId":73329,"journal":{"name":"Igiene e sanita pubblica","volume":"96 3","pages":"149-165"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144746373","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}
引用次数: 0
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