1,720,973 research outputs found

    The ‘Back to the Basics’ movement: Return to the past or sign of a ‘mature’ nursing?

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    In recent times, a growing interest is emerging to re-focus the attention on basic nursing care both at the international levels with the "Fundamentals of nursing care" movement, and at the national levels. Alongside some formal position statements in the form of policies or scientific contributions, also in day-to-day experience, several nurses are debating why basic nursing care is getting out of nurses' domain, why this element of nursing care is under-recognised in its value, or why this reflects an area at risk of decreased professional engagement. Our contribution outlines some reasons for the progressive detachment of nurses from the basics of nursing care and debates on possible areas on which to invest to re-bring the Fundamentals of Nursing Care as a priority in the daily agenda of practice, education, management and research

    The experience of individuals placed in quarantine: A systematic review, meta-summary, and meta-synthesis

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    Objective: To summarize the experience of individuals placed in quarantine during an outbreak. Design: A meta-summary and a meta-synthesis based upon a systematic review of qualitative studies. Sample: The Cumulative Index of Nursing and Allied Health Literature, MEDLINE, and Scopus databases were all searched up to April 2020. Measurements: The Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines were followed; then, the methodological quality of the studies included was assessed with the Critical Appraisal Screening Programme tool for qualitative studies. Results: Five studies have been included documenting the experience of 125 adult individuals. A total of 16 codes emerged: in the meta-summary, the most and least frequent codes were “Thinking about quarantine” (80%) and “Emotional roller coaster,” “Being alert for any symptom,” “Trusting or not?,” “Knowing who brought the infection,” and “Living in a surreal world” (20%). The codes which emerged were categorized into three main themes which summarized the whole experience of being placed in quarantine: (a) “Being swamped with a thousand emotions”; (b) “Being restrained”; and (c) “Needing to be considered.”. Conclusions: The experience of quarantine for people is a long journey which can feel chaotic due to uncertainty about the consequences on health, work, and the future. The findings of this study can help nurses in caring for quarantined individuals by enabling them to understand people's need for educational and emotional support. Ensuring the supply of consistent information is also important to increase people's compliance

    Le proprietà terapeutiche degli ambienti delle case di riposo nel contesto italiano: risultati di uno studio di validazione e descrittivo

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    BACKGROUND: The social and the physical features of the nursing home (NH) environment can offer a therapeutic support capable of maximising residents' physical and cognitive functions. A total of 23 instruments evaluating the therapeutic properties of a NH has been documented to date; among them, the most recent and widely used is the Therapeutic Environment Screening Survey for Nursing Homes (TESS-NH) composed of 13 domains and 84 items: higher scores in each domain indicate a higher presence of therapeutic principles. Validating the Italian version of TESS-NH tool and describing the therapeutic properties of Italian NH environments were the aims of this study. STUDY DESIGN: A validation and a cross-sectional study design, undertaken in 2017. METHODS: After having ensured the cross-cultural and the conceptual equivalence, together with the face and the content validation, 13 NHs accounting for 1,161 beds and articulated in 31 units have been evaluated with the TESS-NH tool via direct observation by trained researchers. Inter-rater reliability, test-retest, criterion validity, inter-dimension correlations and internal consistency were measured. Descriptive statistics was also calculated. RESULTS: The inter-rater reliability was Pearson (r) >0.917 for continuous variables and weighted kappa statistics (k) of > 0.779 for non-continuous variables; the test-retest reliability was r > 0.848 and k of > 0.778, respectively. The criterion validity was r > 0.500 between each dimension and the single TESS-NH global item; moreover, correlations among the domains varied from not significant to significantly strong, while the internal consistency resulted in all evaluable dimensions in Cronbach alpha > 0.600. In the involved NH units, the TESS-NH total score was on average 122.19 out of the possible score from 0 to 149 (confidence interval (CI) 95%, 115.89-128.49). 25% of the units (=7) reported a total score of ≤ 113, and another 25% reported scores ≥ 133, thus from poor to excellent therapeutic properties. CONCLUSION: The TESS-NH tool can be used in Italian facilities to support managers and researchers in evaluating the therapeutic properties of NH environments. Furthermore, the tool can support the evaluation of the effectiveness of interventional studies or quality improvement projects aimed at improving the NH's environment

    A two-year retrospective study of the neonatal emergency transport service in Northeast Italy

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    Background: Some newborns require acute transport to a Neonatal Intensive Care Unit (NICU) due to unpredicted or unpredictable reasons. Objective: To describe the activity of the Neonatal Emergency Transport Service (NETS) in Northeast Italy. Methods: An observational retrospective study was performed between 1 January 2018, and 31 December, 2019. Results: A total of 133 transports were collected, with a neonatal transport index of 1.4%. Infants ≤2500 grams were more frequently transferred by NETS than those in the normal group (n = 34/563, 6.0% vs. n = 99/8,437, 1.2%; p 2500 grams, there was a low incidence of a cesarean birth compared to vaginal delivery (23.2% versus 63.5%; p =.001), while the percentages were reversed in the group of infants ≤2500 grams (67.7% versus 20.6%) (p =.001). Infant stabilization time was higher in the underweight group compared to those weighed >2500 grams (31.5 versus 23.0 min; p 2500 grams. Conclusions: This study described a local reality by showing the characteristics of the neonatal transports that took place in a metropolitan area in Northeast Italy. Wider database is necessary to achieve a better knowledge in the field of perinatal outcomes
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