Rivista dell'infermiere Journal Impact Factor & Information

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Other titles AIR
ISSN 1120-3803
OCLC 43523929
Material type Periodical
Document type Journal / Magazine / Newspaper

Publications in this journal

  • Rivista dell'infermiere 01/2000; 15(1):35-44.
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    ABSTRACT: The insertion of a central venous catheter (CVC) is a compulsory invasive technique for bone marrow transplant patients. CVC are in fact used for the administration of treatments (chemotherapy, Total Parenteral Nutrition) and patients monitoring (blood samplings). The study reports on the results of a retrospective analysis on 213 CVCs implanted on 203 patients undergoing bone marrow transplantation in the Bone Marrow Transplant Unit (BMT) in Florence, from 1992 to 1996. Sixty-one per cent of implanted catheters were maintained in situ until the completion of the treatments, while 5% patients needed the CVC replacement. The major cause of CVC loss was spontaneous deiscence (7% of all implanted CVCs). The 80% of implanted CVCs had a satisfactory performance; in 14% a local infusion of urokinase was required to re-establish patency and in 6% of patients a peripheral venous line had to be started. Only 2% catheters had to be removed due to an infection.
    Rivista dell'infermiere 01/1998; 17(2):69-75.
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    ABSTRACT: The diagnosis of childhood cancer is very dramatic and stressful. The management of the communication process has important influences on all involved: the child her/his parents other family members and all the health care personnel that work and care for the child. There are no ready to use rules about when, how and what should be explained. The most relevant suggestions for parents and their children are presented in a recently published book. Instead of providing a list of suggested behaviours, the communication process of the diagnosis to the child is illustrated with vignettes that stress (often with paradoxes) the point of view of the child.
    Rivista dell'infermiere 01/1998; 17(2):85-90.

  • Rivista dell'infermiere 01/1998; 17(2):109-15.
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    ABSTRACT: The characteristics of teaching wards perceived by third year students of Trento nursing school as favouring the clinical teaching and learning were studied. The aim of the study was to identify the characteristics that favour or hamper the learning processes in order to identify the criteria for selecting the teaching wards. An open ended questionnaire was administered to the 60 third year students in may 1996. The most important variables favouring the learning processes were the opportunity to work with a registered nurse and the willingness of the medical and nursing personnel to teach in the word. Sixty-six percent of the respondents consider as pivotal to have a reference person or guidance (head nurses, clinical supervisors, expert nurses); 71.6% of the students find very valuable the variety of clinical cases and technique performed in the wards. Eighty-eight per cent of the students perceive that a good interpersonal relationship between the team and the students is a very important factor while a negative "social climate" has a negative impact on learning. Thirty-six per cent of the students state that a very high workload in the ward does not allow the student to pursue the aims of the educational project.
    Rivista dell'infermiere 01/1998; 17(3):173-9.
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    ABSTRACT: The whole male population with indwelling catheter of the Trento health district has been included in a survey of the quality of the home nursing services. The epidemiological and in depth analysis of the characteristics and motivation of the high degree of heterogeneity of medical prescribing behaviors and of the nursing practices suggest that an important effort of rationalization (on the basis of pre adopted protocols) is both needed and possible.
    Rivista dell'infermiere 01/1997; 16(2):98-103.
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    ABSTRACT: The experience of development of a protocol for the nutritional management of postoperative surgical patients is described. The protocol was developed with the involvement of all the professionals working in the ward (nurses, anesthetists, dieticians and surgeons). It contained indications on how and when re-start feeding for non complicated surgical patients. Specific indications for diabetic, hypertensive and nephropatic patients were devised. The protocol was readily adopted and successfully implemented, indicating that the strategy of sharing and discussing problems involving all the professionals leads to a better chance of success.
    Rivista dell'infermiere 01/1997; 16(2):104-6.
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    ABSTRACT: The educational experience of a Diabetic Care Centre, throughout 15 years is described using the metaphor of the tree. Each course organized for different patients with different needs is a branch that contributes to the development of the tree. The importance of a common philosophy and the team work are considered pivotal for the growth and development of the educational tree. One hundred twenty-nine courses have been organized to data and 239 follow-up evaluations were performed.
    Rivista dell'infermiere 01/1997; 16(4):215-8.
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    ABSTRACT: The experience and the various steps of the adaptation of an instrument for assessing the quality of care delivered are described. The instrument adopted was the IGEQSI (Instrument Global d'Evaluation de la Qualité de Soins Infermiers), because it is easy to use, it allows to obtain a global evaluation thus analyzing several areas of nursing care and because resources, processes and outcomes of care are considered. Since it was developed in a foreign culture it required a substantial adaptation either in the contents or in the structure. The steps of the adaptation process are described and some of the results of the pilot evaluation (on 250 patients) presented. The results of the pilot evaluations were discussed and well accepted by the nurses, who recognised their ward situations in the scores obtained.
    Rivista dell'infermiere 01/1997; 16(3):151-9.
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    ABSTRACT: It is a great chance for the general practitioner to encounter the entire ill human being as it lives and suffers in an integrative manner. He invites the patient to describe the picture of his situation. Pantomimic meaning of the physical appearance as well as verbal and spiritual expressiveness are important. Difficulties in the patient-physician relationship arise when physician and patient value psychic and somatic aspects of the disease differently and when they disagree on therapeutic goals. Often patients degrade themselves to a defective machine, to a dysfunctioning computer--and the physician to a mechanic. When the physician rejects the patient's passive consumer attitude and when he demands active cooperation from the patient to carry a part of the responsibility for diagnosis and therapy, he develops into a 'difficult' physician.
    Rivista dell'infermiere 07/1996; 16(1):60-4.
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    ABSTRACT: The paper reports on the results of a prospective, randomized trial in which two different regimens of personal hygiene procedures have been compared in 30 patients undergoing autologous bone marrow transplantation. The main aim of the study was to evaluate the incidence of infectious episodes in patients enrolled in the trial arm with the simplified hygiene protocol as compared to the standard one, used in our Unit for patients undergoing allogenic transplant. No significant differences between the two study groups in the incidence of infectious episodes or of positive skin cultures were found. Therefore, we suggest that a simplified hygiene protocol is as effective as the standard one in preventing infectious complications in patients undergoing autologous bone marrow transplantation.
    Rivista dell'infermiere 07/1996; 15(3):127-30.
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    ABSTRACT: The study aimed at evaluating selection criteria and basic characteristics of acute stroke patients admitted to rehabilitation programs. From January 1993 to February 1994, 373 patients from 13 hospitals of the Lombardy region were admitted to the study. The 4 months telephone follow-up was performed by the AVO (Hospital Volunteers Association) volunteers. The 4 months fatality rate was 23%. The patients with a higher disability level were prescribed a rehabilitation program. Rehabilitation resources were not available for very severe or dependent patients being mostly the younger and partially dependent patients more often referred to the services. Only 50% of eligible patients received a rehabilitation intervention within 1 month from the index episode of stroke. The lack of caring resources and the long waiting times stress the need for a reorganization of the rehabilitation services. This study also shows that volunteers can play a role of stricter collaboration with doctors and are ready to collaborate in data collection. A larger and more detailed study is warranted in order to gain a better knowledge on the problem and on the clinical and social characteristics of the stroke victims.
    Rivista dell'infermiere 01/1996; 15(4):184-9.
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    ABSTRACT: The Social Cooperative Progetto Popolare of Montescaglioso (Matera) organized some health education meetings on common health problems. Since information on treatment of cough and fever are very frequently sought, a survey was conducted interviewing the mothers with children of 6 months-10 year of age. The health visitors, social workers and teachers members of the Cooperative, interviewed, using a structured interview, 220 mothers (45% of all the eligible mothers resident in the area). 157 mothers (71.3%) had children with cough or fever the month before the interview. 25% of children were not administered any drug while the remaining 117 received 1 to 5 drugs. 45 children (28.6%) were administered an antibiotic (13 different active principles!). Non farmacologic treatments were associated to drugs for 17 children with fever and 39 children with cough. Results were presented in public and discussed with Montescaglioso inhabitants. Altough some of the results were expected, it should be stressed that this project demonstrated that it is possible to actively involve professionals and lay people in collaborative projects and start a two way communication and collaboration.
    Rivista dell'infermiere 01/1996; 15(1):22-8.
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    ABSTRACT: Drugs prescription in patients > or = 65, admitted to the Geriatric ward (48 beds) of the Hospital of Crespano del Grappa (VC) from 1st january to 15th October 1993, was retrospectively analyzed examining clinical records. Respiratory and cardiovascular problems affect 18% of patients. The most frequently prescribed at discharge are cardiovascular drugs (71%) and gastrointestinal drugs (23% in women and 18% in men). Only 10 active principles (over 150 prescribed) lack a scientific documentation of efficacy. The survey is presented as one of the ways for producing an epidemiological profile of the patients cared for, beginning from easily available data. Such a profile would allow to focus on specific problems (the different pharmacologic management of men and women; the complex patients; the patients that would need specific information on drugs), and plan intervention strategies.
    Rivista dell'infermiere 01/1995; 14(4):173-9.

  • Rivista dell'infermiere 01/1995; 14(3):142-8.
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    ABSTRACT: Newborns admitted to any Intensive Care Unit (ICU) are more at risk for nosocomial infections. The author analyzed the incidence of nosocomial bacteriaemias occurred in the neonatal ICU of Trento, especially focusing on the relationship between weight at delivery, incidence of infections and mortality. The incidence of bacteriaemiae during the observation period (1.189-31.12.93) accounted for 3.5%, and 2.8% were classified as nosocomial. The most frequently involved organism was the Staphylococcus PCN (62% of bacteriaemiae). High risk newborns weighted < 1500 g; 10.7% were affected by nosocomial bactaeriaemia, representing the 56.1% of all the observed bacteriaemiae. A strong association (p < 0.05) was also observed between bactaeriaemiae and mortality, in newborns weighting less than 1000 g. Since low and very low birth weigh infants are particularly at risk for infections, special attention should be paid to the invasive techniques and a systematic reporting and documentation of epidemiology of infections, in order to monitor impact of modifications in caring techniques is warranted.
    Rivista dell'infermiere 01/1995; 14(2):62-6.
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    ABSTRACT: General information on organ transplant is generally lacking and the issue very often arouses feelings of fear and suspicion. Aim of the survey was to assess the level of information of general population on legal, ethical aspects and other topics related to organ donation and transplant. A questionnaire was administered to a convenience sample of 700 inhabitants of Gallarate (MI). The open and closed questions explored areas such as the organ donation from a living person, xenotransplants, the role of media. 520 questionnaires (74.3%) were returned. There is a positive attitude toward organ donation but the specific knowledge of the large majority of people is very rough and superficial: for instance, only 36% of respondents knew the difference between organ donation from a living person and a corpse. The lack of correct information was considered the main reason (66%) for the insufficient number of organ donations.
    Rivista dell'infermiere 01/1995; 14(2):67-70.