Professioni infermieristiche

Publisher: Consociazione Nazionale Infermiere Infermieri e Altri Operatori Sanitario-Sociali

Journal description

Organo ufficiale della Consociazione Nazionale Associazioni Infermiere.

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Website Professioni Infermieristiche website
ISSN 0033-0205
OCLC 220234770
Material type Internet resource
Document type Internet Resource, Computer File, Journal / Magazine / Newspaper

Publications in this journal

  • [Show abstract] [Hide abstract]
    ABSTRACT: Introduction: Occupational stress is one of the main causes of sick leaves among healthcare professionals and it determines high costs to health systems. Monitoring occupational related stress can be an important tool for policy makers. The Italian nursing research gave little attention to nurses' occupa- tional stress. The aims of this study is to estimate the prevalence of occupational stress and evaluate risks factors among Italian nurses in order to evaluate health promotion intervention. Methods: Cross-sectional study on a convenience sample of nurses from three Italian public hospitals was carried out. The Nursing Stress Scale was administrated together with socio-demographic data information(age, occupational age, family structure etc). The Nursing Stress Scale includes 34 items with a score from 0 to 3. Seven areas of job related stress are investigate in the scale: conflict with physicians, inadequate training, lack of support, conflict with other nurses, workload, uncertainty about treatments, death and suffering. Scores were calculated for each item and for each area. Associations between stress scores and socio-demographic data were analyzed. Results: 231 nurses participated to the study. The two stress areas with the highest scores were "workload" (1.58) and "death and suffering" (1.39). Among the 13 items that exceed the overall mean stress score (i.e. 1.07), five belong to the "workload" area. "Watching a suffering patient" is the single item with the highest mean score. Demographic data associated to higher stress scores are, female gender (p=0.03) and working with night shifts (p=0.02). Intention to leave the nursing profession is associated to higher stress scores (p=0.002). Age, occupational age, time to commute to work, number of children, having disabled relatives at home, were not correlated to higher stress scores. Conclusions: Our study provides data regarding nurses' occupational stress that was not available before. This data may be useful for policy makers to plan preventive interventions for nurses' job related stress and to reduce nurses' intention to leave.
    No preview · Article · Jan 2016 · Professioni infermieristiche
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    ABSTRACT: Introduction: The phenomenon of witch-hunting in the post-tridentine period is a crucial moment for the history of nursing care. Modern historiography tells that women accused of witchcraft were custodian of female knowledge, both in domestic and small communities. Purpose: To investigate the witchcraft phenomenon in specific context of Bormio country- side, in order to identify proper nursing acts in gestures of women accused of witchcraft or sorcery. Methods: Process for witchcraft - sorcery against 7 women in Bormio, between 1590 and 1631, were reviewed through a historical research methodology: sources retrieval, descrip- tion and documentary analysis characterization, interpretation. Results: In nearly all legal proceedings analyzed an indictment due to a healthcare exper- tise was found in terms of touch, feed, nearness, word. By multiple daily acts of women, intention to help and to express solidarity was clear, in a scenario of disease and suffering, solidarity is shown by acts of care. Conclusions: As a result of this study, we can resume that the period of the witches, so hard for women , was an age of repression for history of nursing itself. Mankind lifestyle, assi- stance, aid are ontological and anthropological foundations of nursing. Therefore, a past rese- arch of the traces of those foundations could mean rebuilding the own sense of nursing act: we tried to get an approach to that sense also "listening to" the gestures of women in Bormio.
    No preview · Article · Jan 2016 · Professioni infermieristiche
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    ABSTRACT: Aims: The objectives of this study were first to develop a valid and reliable instrument that measured the sensitivity of Italian nursing undergraduates, and, second, to conduct an obser- vational study in second- and third-year Italian nursing students to provide new insight into the efficacy of nursing ethics education to develop ethical sensitivity. Methods: A quantitative, descriptive, observational pilot study was conducted in two Italian universities. To investigate the students' sensitivity, a brand new scale entitled "Ethical sensi- tivity scale undergraduates nursing students" (ESS-UNS) was produced. Twenty items that referenced the principles of the Italian Nursing Code of Ethics were identified (2009). Results: The measured exploratory factorial analysis outlined a two-factor solution. Based on the semantics of the items, the first dimension was named "Ethical sensitivity as a positive attitude" and it was created to detect the perceptions and opinions of the students regar-ding good behaviours in nursing. The second dimension was named "Ethics sensitivity as a negative attitude" in virtue of the perceptions of the students regarding the behaviours consi- dered ethically negative. Conclusions: The added value of our study is in the verification that academic ethical education signifi- cantly increases students' awareness regarding the possible ethical violations observed and lived in during clinical training. This can help students understand and identify the ethical conflicts in relationship with their moral maturity.
    No preview · Article · Jan 2016 · Professioni infermieristiche
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    ABSTRACT: Aim: The influence that generations have on complex nursing work environment have not been investigated yet in Italy. The majority of studies realized on this topic up to now has a small sample size and is monocentric. None Italian study has directly investigated nursing multigenerational workforce. The study aimed to investigate the existence of generational differences in Italian nurses professional within the italian context and describe their characteristics. Methods: A 33 items questionnaire devised for the purpose was administred to a sample of 317 nurses of two major Italian North-East hospital. Five dimensions were analyzed: profes- sional space, professional role, professional culture, orientation to care, relationships among generations. Results: Data showed statistically significant differences among nurses generations in 9 items. The dimensions with the greatest number of significant items were found to be relationship among generations (6 items), followed by orientation to care, professional space and professional role (1 item each). Conclusions: Results highlighted the existence of generational differences and give some information on perceptions and relationships between italian nurses generations. Being the first exploratory study on Italian nurses, it is currently impossible to compare these results with those of previous studies. Further investigation is needed to make more comparisons with international literature.
    No preview · Article · Jan 2016 · Professioni infermieristiche
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    ABSTRACT: The incidence of Ventilator Associated Pneumonia (VAP) varies between 8 and 28% on patients with invasive mechanical ventilation, and it is associated with high mortality rates. The international literature indicates that the VAP has some risk factors that cannot be changed and some other that are closely related to nursing care procedures. The aim of this study is to analyze compliance level to the protocol of nursing prevention of the VAP in the ICU of "General Hospital" in Castellon de la Plana (Spain) within the project "Neumonía Zero". The data were collected during the months of May and June 2012 through direct observation which lasted 33 days. 5 check lists based on international recommendations were used for the objective evaluation on the adoption of preventive treatments. 58 patients in invasive mechanical ventilation and 43 ICU nurses were enrolled. Compliance procedure showed no significant differences among each other with an average adhesion of 78% of the observations. The observations trend shows a tendency of improvement in accordance with the checklists of cuff pressure and of the inclination of the bed head. An incidence rate of VAP 13,37/1000 was observed. In conclusion, direct observation showed good compliance to the protocols used in the ward. The obtained data allows to re-direct educational choices and assume a systematic application of this methodology with an important contribution to nursing.
    No preview · Article · Jan 2016 · Professioni infermieristiche
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    ABSTRACT: Objectives: Survey on a sample of second and third years nursing students, data concerning skills in identifying nursing diagnosis "Ineffective Self-Health management (00078)" and "Non compliance (00079)". The main objectives were to determine differences and similarities between the two diagnosis detected by students, to recognize which elements taken into account to identify them and to determine possible causes of misidentification. Methods: Semi structured interview with analisys of a clinical case. Results: Lacking knowledge was found regarding both diagnosis. Students stated to have some difficulties to understand and identify diagnosis; most of the them interviewed tend to confuse these two diagnosis precisely because they do not discern the differences. Despite that, most of them succeded in identifying the correct diagnosis in reference to the proposed clinical case, and were able to justify properly the choices made. Conclusions: The study highlights the need to develop students' skills for the identification of the two diagnoses. There is a overall confusion in describing patient's health conditions, this leads to an innapropriate identification of nursing goals and interventions and to an not efficient delivery of care. Improving actions should be addressed to the causes of a difficult differential identification. Educator therefore should be focus on learning development in order to change knowledge, attitudes and beliefs, perception of selfefficacy, but also in clinical practice in order to improve cognitive skills on nursing diagnosis.
    No preview · Article · Jan 2016 · Professioni infermieristiche
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    ABSTRACT: Introduction: Nursing classifications identify a specific professional responsibility, increase nursing visibility, according with nursing evolution of these last years. Objective: To evaluate care planning with NANDA taxonomy in neurologic rehabilitation context. Method: Care plan managing with NANDA taxonomy, regarding diagnosis of constipation and impaired skin integrity, using a computerized tool for systematically observation, organized in check list. Results: Registered data with taxonomy planning are higher in quantitative and qualitative terms. For most of patients (87%) one diagnosis has been opened, both diagnosis for 60% of them. Conclusion: Nursing care plan with NANDA taxonomy can be considered a valid methodology of care for neurologic patient, this since it requests a deep and complete registration of first assessment a systematically registration of each monitoring, it increases visibility of nursing job, and it underlines specific autonomy and responsibility in prevention and management of problems.
    No preview · Article · Jan 2016 · Professioni infermieristiche
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    ABSTRACT: Aim: A survey in 5 Roman hospital was carried out to have a deep understanding of guidelines application and existing regulations regarding health professionals' protection in handling antiblastic drugs. Methods: A questionnaire was administered to 122 nurses, working in oncology units, about the main points required by guidelines for safe handling of antiblastic drugs. Results: Results show that attention to collective protection equipment and working practices is evident, nevertheless other elements are still partly applied, first the lack of staff training, which not involved all health professionals and the frequency which does not fit guidelines. The use of Personal Protective equipment, where provided, is sometimes ignored, a situation which can be connected to the lack of specific training of personnel. Conclusions: Greater attention must be taken to ensure that required training for nurses involved in the preparation and administration of antiblastic drugs, this is the starting point for the proper use of Personal Protective equipment and of appropriate procedures in each work phase. Increased control by the institutional bodies to confirm compliance with the rules and regulations for the protection of workers' health is desiderable.
    No preview · Article · Jan 2016 · Professioni infermieristiche

  • No preview · Article · Dec 2015 · Professioni infermieristiche
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    ABSTRACT: Introduction: The Businco Transplant Program undertook the JACIE standards accreditation process since January 2010. The process is here analyzed by a descriptive-exploratory quantitative study to verify the hypothesis that accreditation according to the standard JACIE improves health professionals performance and organization output. Methods: An analysis was performed before starting the whole process. An analysis of the planning, programming and implementation of actions was carried out. Data analysis focuses on the organizational and structural changes, training, and preparation of documentation, implementation and verification of objectives achievement. The data refer to the period between January 2010 and October 2012. Results: A dedicated team was set up, an implementation plan and process map was developed. A Quality Management System was also implemented. This included: risk management, audit and quality indicators. Conclusions: Despite the difficulties the JACIE accreditation process has been useful for integration and professional collaboration. Education of the staff has played a key role in the implementation of the whole system and in particular for the quality management system.
    No preview · Article · Sep 2015 · Professioni infermieristiche
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    ABSTRACT: Prevention and health promotion are based on the amendment of unhealthy lifestyles. The purpose of this work is to identify and highlight unhealthy habits and behaviours of nursing students and nurses professionals, in order to explore possible correlations between unhealthy choices and culture, knowledge and skills in health education. The study population is represented by three separate samples: a) Students from high schools in the province of Pistoia, b) Nursing Undergraduate students of the University of Florence (campus of Pistoia), c) Nurses employed within the Health Services 3 of Pistoia. Investigated behaviours were smoking and alcohol habits, painkiller and inflammatory consumption. Data gathered through the questionnaires were useful to identify and classify educational needs for each of the three samples . This study helps to bring out important aspects of nurses' role on health promotion within the society.
    No preview · Article · Sep 2015 · Professioni infermieristiche