1,720,996 research outputs found
Igiene delle mani e teoria del comportamento pianificato: adattamento cross culturale e validazione linguistica della versione italiana dell’Hand Hygiene Questionnaire
No full textIntroduzione L’igiene delle mani, pur essendo la procedura principale per il controllo delle infezioni, sembra
avere un tasso di adesione scarso. Sono state sviluppate molte teorie per definire la natura e la relazione
dei fattori che influenzano alcuni comportamenti. La teoria del comportamento pianificato è stata utilizzata
in altri due paesi per identificare negli infermieri i predittori dell’intenzione a praticare l’igiene delle mani
(pratica innata e pratica elettiva) in ospedale, attraverso l’Hand Hygiene Questionnaire.
Obiettivo Descrivere il processo di validazione linguistico culturale dell’Hand Hygiene Questionnaire per
identificare negli infermieri, attraverso la teoria del comportamento pianificato, i predittori significativi
dell’igiene delle mani associata ai contatti elettivi (puliti) e innati (sporchi) in ospedale.
Materiali e metodi Studio metodologico di traduzione e validazione culturale. La traduzione e l’adattamento
culturale di tale strumento ha seguito le fasi del modello proposto dall’Organizzazione Mondiale della
Sanità. E’ stato effettuato uno studio pilota per valutare il questionario negli infermieri che hanno approvato
l’adattamento culturale. E’ stata seguita una validazione qualitativa e quantitativa di contenuto.
Risultati Tutte le fasi del processo di validazione linguistico culturale sono state realizzate in modo soddisfacente.
Conclusioni Il processo ha seguito le raccomandazioni presenti nella letteratura internazionale. La versione
finale è stata approvata dall’autrice dello strumento originale.Introduction Although the importance of hand hygiene on the control and reduction of infections is widely
internationally recognized, the rate of adherence to this practice by health professionals has proved to be
very low. Many theories have been developed to define the nature and relationship of factors that influence
some behaviors. The Theory of Planned Behavior was used in two others country to identify significant
predictors of hand hygiene associated with hospital elective and hospital inherent contacts among nurses,
through the Hand Hygiene Questionnaire.
Objective Culturally and linguistically validation in Italian language of the Hand Hygiene Questionnaire to
identify significant predictors of hand hygiene associated with hospital elective (clean) and hospital inherent
(dirty) contacts among nurses, through the Theory of Planned Behavior (TPB).
Materials and methods Translation and cultural validation study. The translation and adaptation of this
instrument followed the phases of the model proposed by the World Health Organization. A pilot study was conducted to test the questionnaire in nurses who approved cultural adaptation. A qualitative and quantitative
content validity was performed.
Results All phases of the cultural-linguistic validation process was carried out in a satisfactory manner.
Conclusions The process meticulously followed the recommendations of the international literature. The
final version has been approved by the author of the original instrument
Individuazione precoce del delirium pediatrico, ricerca di strumenti specifici: protocollo di revisione della letteratura
No full textIntroduzione: Il delirium pediatrico,
spesso identificato come sindrome da terapia
intensiva, è associato ad una maggiore
degenza ospedaliera ed all’insorgenza di
sindromi post traumatiche e disturbi neuro
cognitivi anche dopo l’ospedalizzazione.
Mentreperisoggettiadultiocomunquecon
età superiore ai 12 anni i criteri diagnostici
eglistrumentivalidatiperunadiagnosiprecocesonobendelineati,
inetàpediatrical’identificazione
dei fattori predisponenti al
delirium,èmoltocomplicata.Laspecificità
cognitiva della popolazione e l’esigua presenza
di strumenti validati specifici, rendonotalesindromefortementesottostimata.
Obiettivo:identificarespecificistrumenti
atti alla precoce individuazione dei fattori
predisponenti il deliriumpediatrico.
Metodo: Revisione sistematica e Metaanalisi
(se applicabile). A seconda della
comparabilità degli studi reperiti, sarà condotta
unameta-analisi. In tal caso, i risultati
saranno riassunti in misure relative e assolute
o differenza media, a seconda del tipo
di risultato. Sarà effettuata l’analisi per la
sensibilità ed eterogeneità.
Conclusioni: l’identificazione di strumenti
per lo screening precoce dei fattori
predittivi del delirium in età pediatrica e
specifico per le differenti fasce di età, potrà
rappresentare uno strumento di supporto
nella pratica clinica infermieristica e potrebbedeterminare
una rilevazione di questa
sindrome spessomisconosciuta durante
ladegenzadei piccoli pazienti,permettendo
l’erogazione di interventi assistenziali specifici
da parte dell’equipe assistenziale.Introduction: Pediatric delirium or intensive
care syndrome is associated with
an increased hospital stay and the onset of
post-traumatic syndromes and neuro-cognitive
disorders even after hospitalization.
While for adults or patient over the age of
12 y.o.,the diagnostic criteria and the validated
tools for an early diagnosis are well
defined, in pediatric age the identification
of risk factors to delirium is very complicated.
The cognitive specificity of the population,
and the limited presence of
specific validated tools, make this syndrome
strongly underestimated.
Aim:identification of predisposing tools
for pediatric delirium
Method:Asystematic reviewandmetaanalysis
(if applicable). Depending on
comparability of studies, meta-analysis
will be undertaken. If so, results will be
summarized in relative and absolutemeasures
ormean difference, depending on the
type of outcome. Sensitivity and heterogeneity
analyses will be performed.
Conclusions: early detection of the predisposing
factors for pediatric delirium
will allow specific and appropriate treatment
for a strongly underestimated syndrom
Clinical risk and patient safety: a multicenter cross-sectional study to explore knowledge, attitudes and practice of hospital nurses
No full textObjectives: To investigate knowledge, attitudes, and behavior of nurses working in acute care hospitals regarding
clinical risk and patient safety, and to identify predisposing factors.
Design: Cross-sectional multicenter study.
Methods: The study was conducted in thirteen non-teaching acute public and private hospitals of a region of
southern Italy from September through December 2015. A structured self-report questionnaire was administered to
clinical nurses working in the hospitals involved. Three multivariate linear and logistic regression models have been
constructed: knowledge of the definition of an adverse event; attitude towards risk of making an error while working;
and nurses who reported at least one error in the past 12 months.
Results: The sample consisted of 484 respondents out of 670 (72.2%) nurses approached. The final multivariable
model showed that educational courses about patient safety play a significant role in nurses gaining knowledge
of adverse events. In the absence of organization-wide patient safety programs, nurses with low knowledge levels
showed a significantly higher perceived risk. Nurses (n=96) who made errors over the past 12 months had discussed
them with head nurses (75%) and colleagues (41.7%). Anonymous reporting to the organization was very low, with
only 8.3% of nurses who had made an error submitting an anonymous report.
Conclusions: Managers should implement multimodal improvement strategies aimed at enabling nurses’ to recognize
the critical issues of the system and to increase their reporting, in order to make the organizations safer
Facilitatori e Barriere dell’aderenza al trattamento con CPAP nei pazienti affetti da Sindrome da Apnee Ostruttive del Sonno: revisione della letteratura
No full textThe CiTAS scale for evaluating taste alteration induced by chemotherapy: state of the art on its clinical use
No full textBackground: Cancer is the leading cause of death worldwide. Of the various therapeutic approaches,
chemotherapy is the most widely used treatment. Among the various side effects associated with this treatment,
taste alterations (TAs) have received little attention, even though they have a serious impact on the nutritional
aspect and quality of life (QoL) of patients. TAs concern 75% of the patients receiving chemotherapy,
and this figure is still considered to be underestimatedbeacuse could be due both to inadequate attention and
to the absence of specific subjective tools able to fully evaluate TAs in patients undergoing chemotherapy.
Methods: A review by querying CINAHL, PubMed, Scopus and Google Scholar databases about the current
status of use of the CiTAS self-evaluation scale, was performed. Results: From critical reading of the selected
reports, it can be said that until now CiTAS has not been used to a large extent for evaluating taste, even at a
late stage in patients undergoing chemotherapy. However, the results and the selected reports seem to indicate
hope for its wider use. Conclusions: In literature, CITAS scale has been used on very heterogeneous populations
and not adequately studied in specific care settings, its use within controlled trials could implement its
spread.Correct and subjective evaluation of TAs would allow the planning of specific and personalized interventions
aimed at providing adequate nutrition to support the maintenance and/or achievement of a correct
body mass index. All this could contribute significantly to a better perception of QoL in patients undergoing
chemotherapy
Studio fenomenologico sul vissuto esperienziale dei genitori di bambini ricoverati in una Terapia Intensiva di cardiochirurgia: comprendere per aiutare
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