Assistenza infermieristica e ricerca: AIR (ASSIST INFERM RIC)

Journal description

Current impact factor: 0.32

Impact Factor Rankings

2015 Impact Factor Available summer 2016
2014 Impact Factor 0.315
2012 Impact Factor 0.4
2011 Impact Factor 0.355
2010 Impact Factor 0.135
2009 Impact Factor 0.205

Impact factor over time

Impact factor

Additional details

5-year impact 0.37
Cited half-life -
Immediacy index 0.14
Eigenfactor 0.00
Article influence 0.07
Website Assistenza Infermieristica e Ricerca: AIR website
Other titles AIR
ISSN 1592-5986
OCLC 43523929
Material type Periodical
Document type Journal / Magazine / Newspaper

Publications in this journal

  • [Show abstract] [Hide abstract]
    ABSTRACT: . Protocol based care and organizations: strengths and limits. A protocol based care may impact on the organization under several aspects. In this contribution, starting from real life experiences, the impact on the implementation of guidelines and recommendations on the use of resources and costs is explored, underlying strengths and weaknesses. A judicious and tailored implementation of these instruments is warranted. However, the transformation of some guidelines in laws and decrees may limit their local adaptation.
    Assistenza infermieristica e ricerca: AIR 10/2014; 33(4):203-7. DOI:10.1702/1702.18558
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    ABSTRACT: . Critical issues and limits in the production and implementation of clinical practice guidelines. The introduction of clinical practice guidelines, initially welcomed as the solution for improving the quality of care, left space to a rising debate on the problems and pitfalls of guidelines production and implementation. In this contribute some of the main criticisms (the quality of the guidelines, their real implementation in practice, the misconceptions that they should be rigidly implemented, that should limit the variability of practices…) are addressed and discussed.
    Assistenza infermieristica e ricerca: AIR 10/2014; 33(4):175-82. DOI:10.1702/1702.18550
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    ABSTRACT: . The local adaptation of clinical practice guidelines. The ADAPTE process is a systematic approach to adapting guidelines produced in one setting for use in a different cultural and organizational context. It ensures that the guideline addresses specific health questions relevant to the context, accounting for the needs, priorities, legislation, policies, and resources in the targeted setting. The ADAPTE process was developed to meet the needs of different user groups, including guideline developers, health care providers, and policy makers at the local, national, and international level. The process is flexible; the transparent and explicit reporting enhances the quality and validity of the adapted guideline. The ADAPTE process is briefly described.
    Assistenza infermieristica e ricerca: AIR 10/2014; 33(4):232-5. DOI:10.1702/1702.18568
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    ABSTRACT: . Critical issues in clinical practice guidelines for geriatric care. Behavioral and psychological symptoms of dementia(BPSD) are one of the most disturbing issues in the management of patients, both for caregivers and health care personnel. Aim of this paper is to critically appraise the available guidelines on the non pharmacological management of BPSD. Some effective interventions such as person centred care, communication skills e dementia care mapping are not mentioned while interventions of dubious efficacy (aromatherapy, per therapy, light therapy or music therapy) are proposed. The variability in the expression of behavioral disorders and the different causes suggest an accurate tailoring of the interventions, based on the assessment of the patient, the organization and the environment. Further studies are necessary to improve the implementation of the non drug strategies for the management of BPSDs.
    Assistenza infermieristica e ricerca: AIR 10/2014; 33(4):198-202. DOI:10.1702/1702.18556
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    ABSTRACT: . Clinical practice guidelines: juridical and medico legal issues in health care malpractice liability. Clinical Practice Guidelines are clinical tools addressed to medical and health professionals and are normally employed to improve quality and safety of diagnostic and therapeutical procedures but may sometimes limit the autonomy of medical and other health care professionals. The adherence to Clinical Practice Guidelines should not be an exclusive step to evaluate the liability and respect of standards of care in case of medico-legal investigations being each clinical case very specific. Medical liability and respect of standards of care should be evaluated with the support of Clinical Practice Guidelines and the extensive examination of all specific features, professional background and experience requested to treat each single patient.
    Assistenza infermieristica e ricerca: AIR 10/2014; 33(4):208-13. DOI:10.1702/1702.18560
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    ABSTRACT: . Where and how to retreive clinical practice guidelines. Indications on how to retrieve clinical practice guidelines are offered, presenting the main agencies that produce guidelines and the trip database. A google search with the key word nursing guidelines, after a selection of agencies with multiprofessional groups, with an explicit process of bibliographic search and a grading of recommendations produced the selection of 4 agencies.
    Assistenza infermieristica e ricerca: AIR 10/2014; 33(4):227-31. DOI:10.1702/1702.18566
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    ABSTRACT: . The implementation of recommendations in daily practice: the experience of the nurses of the Oncology institute of Southern Switzerland. Introduction. In spite of the wide spread and availability of the clinical practice guidelines, several problems limit and influence their implementation. Several studies explored how a protocol based care may influence nurses' decision making processes, while only few studies explored how it is used in everyday practice. Aim. This paper explores how the nurses of the Oncology Institute of Southern Switzerland implement the care protocols and problems encountered. Methods. Information on the frequency of use of protocols in the previous month, the need and reasons for modifications were collected with a semistructured questionnaire. Nurses were asked to briefly describe the situations that required a change of the protocol. The nurses'perceptions on the use of protocols in clinical practice were further explored with a focus group. Results. Of the 47 questionnaires distributed 38 were returned and 18 cases briefly described. In general, the protocols were widely used but at the same time, frequently adapted mainly by expert nurses (although 19/39 nursed declared that protocols were never modified). Reasons for modifications were mainly related to the clinical situation of the patient, to his/her values and preferences. Conclusions. Instruments that standardize patients' care are frequently modified to account for patients preferences and characteristics. The nurses acknowledged the need of flexible instruments (and not hard rules) to guide their professional practice.
    Assistenza infermieristica e ricerca: AIR 10/2014; 33(4):189-97. DOI:10.1702/1702.18554
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    ABSTRACT: . Digital interactive technologies for physical exercise with the elderly: literature review and research proposal. One of the final products of an experience of education to research for expert nurses and health care professionals is presented: a of the literature review, mainly aiming at identifying open questions and of the research protocol is proposed. The topic is innovative, as the project deals with the use of exergaming, on top of the rehabilitation programs, with elderly patients in Nursing homes. The aim is to assess the compliance with the gaming and its potential transferability in Ticino Nursing Homes, and the contribution of gaming to the accomplishment of rehabilitation goals.
    Assistenza infermieristica e ricerca: AIR 07/2014; 33(3):147-54. DOI:10.1702/1648.18034
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    ABSTRACT: . Planning and implementation of an open door psychiatric ward: the assessment of an experience in Piedmont. Aims. The planning of the structure and the activity of a newly created psychiatric ward are reported. Methods. Several choices characterized the activity of the ward: to have open doors, newly employed nurses or without experience in psychiatry, a structure that favour the contact between health professionals (HP) and patients. The education of the nurses consisted in the discussion of general principles that guided the clinical practice: the patient is a legal person, his freedom should be guaranteed as well as his right of self determination. Results. The ward was opened in April 2008. Over 55 months 722 patients were admitted (31 compulsory admission). Only 8 patients were restrained and 4 aggressions occurred; 14 patients left the ward without authorization. Pharmacological deep sedation was used only in exceptional circumstances. Conclusions. Patients can be cared, safely for patients and PS in an open doors psychiatric ward. The planning of physical spaces is fundamental in guaranteeing a care respectful of patients' rights.
    Assistenza infermieristica e ricerca: AIR 07/2014; 33(3):134-41. DOI:10.1702/1648.18030
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    ABSTRACT: . Readability and comprehension of guidelines for hand hygiene: a comparison between WHO (2009) and CDC (2002) guidelines. Introduction. Updating clinical practice guidelines (CPGs) is a crucial process for maintaining the validity of recommendations. However, the updating process should be explicit and changes made highlighted in the updated text. Aim. To confront and compare two CPGs on hand hygiene (World Health Organization, WHO, 2009 and Centres for Disease Control, CDC 2002), to identify discrepancies and changes made. Results. Although mostly comparable, CDC and WHO guidelines use a different terminology on hand hygiene which could be confounding: in the former handwashing includes the use of plain soap in the latter also the use of an antimicrobial soap. The lack of a glossary may render tricky the interpretation. Some problems in retrieving the evidence base of a recommendation are highlighted. Conclusions. Great attention should be paid before implementing an updated guideline. The need of essential and easy to consult guidelines, where in the updated version the news and modifications are highlighted are stressed.
    Assistenza infermieristica e ricerca: AIR 07/2014; 33(3):116-9. DOI:10.1702/1648.18024
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    ABSTRACT: . The role of mind and survival in cancer patients. A relationship between psychological reactions and survival in cancer patients has been shown in several studies. A recent editorial illustrates how interventions providing social and emotional support at the end of life may positively influence the physiological stress response systems that can affect survival.
    Assistenza infermieristica e ricerca: AIR 07/2014; 31(3):151-3. DOI:10.1702/1176.13042
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    ABSTRACT: . GAZA 2014. In the last few months the dramatic events of Gaza were brought to the attention of the public. In a report published in the Lancet, a group of health professionals and scientists denounced the slaughter of civilians affirming that health care professionals cannot be silent in a world that is cancelling our culture and the inviolability of right to life and to his dignity, in the name of other interests. The articles of a woman, journalist, Judish, Amira Hass, are reported. She tells of the astonishment and the horror, of the politics and its' responsibilities, but also of names, faces and stories.
    Assistenza infermieristica e ricerca: AIR 07/2014; 31(3):118-22. DOI:10.1702/1176.13037
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    ABSTRACT: . Safety and comfort of patients mobilized 24 and 48 hours after a pacemaker implantation: a retrospective study. Background. In Italy bed rest times after a pacemaker implantation (PI) may vary between 24 and 72 hours, although previous studies showed that early mobilization does not increase the risk of complications. Objective. To observe the safety and comfort of mobilization 24 and 48 hours after PI. Methods. Observational retrospective study on clinical records of consecutive patients undergoing PI from January 2009 to April 2012 in Monzino Hospital in Milan and with a bed rest of 24 or 48 hours. Results. A total of 411 patients were included (Group 48h n=251, Group 24h: n=160). Complications occurred more frequently in the Group 48h: haematomas (3.2% vs 1.9% OR:1.71, p=0.4269); lead dislocations (1.9% vs. 0.6%; OR:3.23 p=0.2863). Patients with longer bed rest received more analgesics for back pain (BP) or pacemaker pocket pain (PPP) (BP: 12% vs 3.1%; OR:4.21; p=0.0036; PPP 13.1% vs 3.7% OR:3.88; p=0.0029). Conclusions. The mobilization after 24 hours to PI increased patients' comfort without increasing risks. Future studies are warranted to explore the effects of a bed rest shorter than 24 hours.
    Assistenza infermieristica e ricerca: AIR 07/2014; 33(3):127-33. DOI:10.1702/1648.18028
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    ABSTRACT: . Education to research: an experience in Ticino Region. General principles and results. Introduction. Education to research is a challenge as learning should be guided by practice and research problems. Aim. To briefly describe the experience of a research course for nurses, physiotherapists and occupational therapists and propose some reflections on the experience. Method. The course was aimed at producing research projects on the elderly population. It was attended by expert geriatric nurses and educators of health professions. After an initial course of 40 hours on the bases of research methodology and statistics, all the course was organized with workgroups supervised by experts. Results. Sixteen participants started the course and 11 completed it. Three research areas were identified: epidemiology and control of behavioral disturbances; the use of wii technologies with the elderly; and the care provided in special care units for dementia patients. After a literature review, two protocols were produced. Conclusions. An adult education to research should start from real problems, relevant for the patients but also for the local organization, and the education should be organized starting from the problems selected.
    Assistenza infermieristica e ricerca: AIR 07/2014; 33(3):142-6. DOI:10.1702/1648.18032