1,721,085 research outputs found
Effects of Mutuality, Anxiety, and Depression on Quality of Life of Patients With Heart Failure: A Cross-Sectional Study
No full text
"Sintetiche considerazioni sugli obiettivi e le caratteristiche dell'assistenza primaria"
No full textThe authors define primary care (otherwise known as medical home) and the reasons that make its implementation necessary and then describe a possible organizational model. In particular, they highlight the significant role of professional nurses and discuss the current lack of nursing personnel. The latter represents an obstacle in the implementation of an efficient primary care program and the authors discuss a possible solution. Finally, the implementation of primary care will require changes to be made in the organizational structure of hospitals; these are also discussed
Connecting Dots for Framing Health: The Self-Care Process
No full textAccording to the Middle Range Theory of Self-Care of Chronic Illness, self-care refers to a process of maintaining health through health-promoting practices and managing illness when it occurs. Self-care is characterized by three sets of behaviors: self-care maintenance, self-care monitoring, and self-care management, discussed further below. Adequate self-care behaviors are the cornerstone of clinical pathways and care processes for persons with a chronic illness who are determined to stay healthy, namely, pointing out the current lively and heated debate surrounding the international research on self-care. Despite the generic nature of self-care as described in the theory and the availability of research instruments measuring the construct, very few researchers have applied the concepts of self-care in the field of CHD, highlighting the heterogeneous self-care behaviors performed by adults with congenital heart defects (ACHD). The fragmented results about self-care maintenance reveal that many ACHD patients smoking cigarettes, using marijuana or other illicit drugs at least once, and consuming alcohol. A significant number (40%) of the ACDH population are underweight or overweight (obese), and only 30% of ACHD patients engage in an optimal level of physical activity. One in every three ACHD patients did not receive the flu vaccine, and one in five ACHD patients reported poor adherence to ongoing medical treatment and follow-up visits. Self-care monitoring and self-care management have received very little attention in the field of ACHD patients. Self-care self-efficacy, shown as a determinant of self-care maintenance, self-care monitoring, and self-care management, was studied especially in the context of ACHD patients’ willingness to perform physical activity, demonstrating that ACHD patients had low levels of self-care self-efficacy
The process of learning and professional development according to nursing students’ experience during Covid-19: A constructivist grounded theory study
No full textAIM: This study explored the experiences of nursing students with respect to learning processes and professional development during internships with COVID-19 patients to build a novel theoretical model. BACKGROUND: The COVID-19 outbreak had a profound impact on the worldwide learning system and it interrupted the internship experiences of nursing students. After the second wave of COVID-19, to balance academic activities with COVID-19 containment, some Italian universities allowed nursing students’ internships in COVID-19 units. This new experience may have influenced nursing students’ learning processes and professional development, but this is yet to be investigated. DESIGN: A qualitative study using a constructivist grounded theory (CGT) approach. METHODS: Nursing students were recruited from two hospitals in northern Italy between January and April 2021. Data are gathered from interviews and a simultaneous comparative analysis were conducted to identify categories and codes, according to Charmaz’s (2006) theory. RESULTS: The sample consisted of 28 students. The results suggested the core category, that is the ‘Students’ sense of belonging to the nursing profession’ and four main categories: (1) From knowledge to know-how, (2) A new relationship modality, (3) Sharing and socialisation and (4) Responsibilization. Finally, a premise and a corollary, respectively (5) Motivation and the (6) Circularity of the process, were identified. CONCLUSION: Our study proposed a new theory of nursing students’ learning processes in clinical contexts during internships with COVID-19 patients. Despite significant difficulties, the nursing students developed a unique learning process characterised by motivation. Therefore, our study provided insight into the learning process during a pandemic and investigated the support needed for nursing students to continue their internships
Highlights from 2013 National Consociation of Italian Nurses Assosciation (CNAI) Congress: reflections and adderesses for Italian Nursing
Full text link- …
