1,721,032 research outputs found
Workplace empowerment and nurses’ job satisfaction: a systematic literature review
No full textAIMS:
This systematic review aimed to synthesize and analyse the studies that examined the relationship between nurse empowerment and job satisfaction in the nursing work environment.
BACKGROUND:
Job dissatisfaction in the nursing work environment is the primary cause of nursing turnover. Job satisfaction has been linked to a high level of empowerment in nurses.
EVALUATION:
We reviewed 596 articles, written in English, that examined the relationship between structural empowerment, psychological empowerment and nurses' job satisfaction. Twelve articles were included in the final analysis.
KEY ISSUE:
A significant positive relation was found between empowerment and nurses' job satisfaction. Structural empowerment and psychological empowerment affect job satisfaction differently.
CONCLUSION:
A satisfying work environment for nurses is related to structural and psychological empowerment in the workplace. Structural empowerment is an antecedent of psychological empowerment and this relationship culminates in positive retention outcomes such as job satisfaction.
IMPLICATION FOR NURSING MANAGEMENT:
This review could be useful for guiding leaders' strategies to develop and maintain an empowering work environment that enhances job satisfaction. This could lead to nurse retention and positive organisational and patient outcomes
Nursing Education: challenges and perspectives in a COVID-19 age
No full textAbstract
The outbreak deeply changed our lives on different levels. Social restrictions and distancing shaped in a different way our view of social relationships and behaviours. Like many aspects of daily life, also education has undergone radical changes. Nursing care was strongly affected by the outbreak, not only due to the risks in everyday practice, the heavy workload or the impact on nurses' daily lives outside the healthcare settings, but also because nursing is caring profession and it embeds in its roots the close relationship with the patient, the touch, the patients' body proximity as a way to communicate and to deliver an effective nursing care. All these issues, when brought in nursing education are also a learning opportunity for students and a way to develop their professional identity and to focusing on the nursing role. The COVID-19 outbreak heavily hit the clinical learning environments, as they are healthcare settings. The situation affected students' learning opportunities, since clinical placements were suspended, Universities closed and in-person courses moved into online teaching. While lessons and courses rapidly switched into online teaching, in order to safeguard students' education and faculty's activity, it was not possible to manage the pre-clinical activities, such as simulations and labs, in order to support technical and relational competences. Most of all, it was not possible to arrange the clinical placements due to the uncertainty of the healthcare settings and the social and organizational restrictions to limiting unnecessary accesses to the services, as recommended by the American Association of Colleges of Nursing in 2020.Recently, many authors have explored the issues related to the future of nursing education. In detail, an emerging issue is how it will be possible to educating nurses in a society facing isolation and social distance measures, but at the same time, in a society that needs more and more prepared clinical nurses
FATTORI DI RISCHIO E COMPLICANZE ASSOCIATI ALL’USO DEI CATETERI VENOSI CENTRALI A INSERZIONE PERIFERICA(PICC) NEI PAZIENTI ONCOLOGICI: STUDIO OSSERVAZIONALE
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ATTEGGIAMENTI E CREDENZE VERSO LE TERAPIE COMPLEMENTARI NEGLI INFERMIERI ITALIANI
Full text linkIntroduzione: negli ultimi anni è stato evidenziato un costante aumento delle conoscenze ed utilizzo delle terapie complementari (CAM) da parte del-la popolazione italiana. Questo nuovo trend nei bisogni sanitari della popolazione, apre una domanda di ricerca sulle conoscenze, attitudini e opinioni che gli infermieri hanno sulle terapie complementari. Gli obiettivi di questo studio, cross-sectional multicentrico, sono quelli di documentare le attitudi-ni degli infermieri italiani rispetto le terapie complementari attraverso l’utilizzo del CAM Health Belief Questionnaire (CHBQ), esaminare le proprietà psicometriche e validare la versione italiana del CHBQ.
Materiali e metodi: il CHBQ è stato somministrato ad un campione convenzionale di 779 infermieri afferenti a quattro ospedali del nord, centro e sud Italia.Risultati: la media del CHBQ era di 48.5 indica un positivo atteggiamento degli infermieri verso le terapie complementari. L’indice di coerenza interna misurato con il coefficiente α di Cronbach era di .785 indicando una buona coerenza interna. La migliore soluzione prodotta dall’esplorazione fattoriale è stata quella con metodologia dell’analisi delle componenti principali con rotazione Promax, con soluzione a due fattori, la quale spiega il 56% della varianza.
Discussione: la versione italiana del CHBQ può essere utilizzata per la misurazione delle credenze e delle opinioni degli infermieri rispetto alle terapie comple-mentari. I risultati di questo studio individuano una generale positiva consapevolezza e attitudine rispetto le terapie complementari, ma evidenziano anche un’idea che i loro effetti possano essere legati ad un effetto placebo. Appare necessario strutturare una formazione degli infermieri nelle terapie complementari, per rispon-dere ai nuovi bisogni sanitari e di salute della popolazione italiana.
Introduction: over the past years, the complementary and alternative medicine (CAM) has shown a steady increase in knowledge and use among the Italian population. This new trend in the population health needs opens a research question about CAM nurses’ beliefs. This multicenter cross sectional study aimed to evaluate the Italian nurses’ attitude towards complementary therapies by using the CAM Health Belief Questionnaire (CHBQ), to investi-gate its psychometric properties and validate the Italian version of CHBQ.
Methods: a convenience sample of 779 nurses from four Italian hospitals filled out the CHBQ.Results: the index of internal consistency measured by Cronbach’s α coefficient was.785, indicating a good internal consistency. The best solution produced from the exploration factor analysis was that of the principal components with Promax rotation, with two solution factors which explained 56% of variance. The average of CHBQ was 48.5, indicating a positive attitude of nurses towards CAM.
Discussion: the Italian version of CHBQ can be used for the measurement of the nurses’ beliefs and opinions about complementary therapies. The results of this study identify a general awareness and positive attitudes towards them, but also highlight the idea that CAM effects can be linked to placebo effect. It seems nec-essary to plan a structured education on complementary therapies for nurses, in order to meet the new Italian population health needs
Conoscenze, percezioni e attitudini delle gestanti sulla donazione e conservazione del cordone ombelicale: studio trasversale
No full textIl sangue cordonale (SC) è una fonte di cellule staminali per il trapianto ematopoietico in pazienti adulti e pediatrici affetti da disordini ematologici e da altri disturbi. Negli ultimi anni, oltre alla donazione delle cellule staminali per trapianto allogenico in banche pubbliche, si sta diffondendo la prassi della conservazione del sangue cordonale in banche private, per eventuale uso autologo. Il dibattito fra bancaggio pubblico e privato è tutt’ora aperto, soprattutto per i risvolti etici ad esso correlato. L’intento dello studio multicentrico è stato dunque quello di indagare le conoscenze, le percezioni e le attitudini delle gestanti italiane riguardo alla donazione e alla conservazione del SC.
I risultati hanno mostrato una limitata conoscenza da parte delle donne esaminate, soprattutto sull’uso terapeutico e sulle modalità di donazione e conservazione del SC, benché siano tendenzialmente favorevoli alla donazione (bancaggio pubblico). Inoltre, un più elevato livello di istruzione delle gestanti sembra essere correlato a una maggiore conoscenza e accettazione nei confronti del trattamento. Infine, si evince che la conoscenza è correlata con l’accettazione etica sia dal punto di vista del trattamento che da quello della ricerca.
In conclusione, i servizi sanitari dovrebbero offrire maggiori percorsi mirati, gestiti da ostetriche o infermieri, per sensibilizzare le gestanti sull’importanza della donazione
Nurses' experiences of stalking: a narrative review
No full textLa presente revisione narrativa della letteratura ha lo scopo di sintetizzare i risultati dei principali studi volti ad esplorare il fenomeno dello stalking subito dai professionisti infermieri che operano all’interno di differenti settings clinici. Sono stati consultati i database di Medline (attraverso Pubmed), CINHAL e il motore di ricerca Google Scholar limitando la ricerca agli studi pubblicati tra il 1999 e il 2013, in lingua inglese ed italiana. Lo stalking include un insieme di comportamenti caratterizzati da ripetuti ed indesiderati contatti imposti da una persona ad un’altra, che ne risulta, di conseguenza, infastidita e manifesta paura, stress e ansia. Numerosi studi hanno esplorato il rischio di stalking in ambito sanitario e sono stati condotti principalmente su popolazioni di medici e psichiatri. Alcuni autori hanno analizzato le esperienze di stalking vissute dagli infermieri, con particolare attenzione agli infermieri afferenti all’area della salute mentale poiché considerati una categoria a rischio di stalking da parte dei pazienti. I risultati di alcuni studi condotti su popolazioni di infermieri afferenti a diverse aree cliniche (area medica, chirurgica e altri servizi ospedalieri) hanno mostrato, seppur in percentuale minore, l’esistenza del fenomeno ed evidenziano che i comportamenti di stalking sono attuati, non solo dai pazienti, ma anche da colleghi di lavoro. Tuttavia, per comprendere maggiormente il fenomeno dello stalking in ambito infermieristico sono necessarie ulteriori ricerche che coinvolgano campioni più ampi di infermieri afferenti ad aree lavorative diverse da quelle della salute mentale.This narrative review aimed to synthetize the results of the main studies analysing nurses' experience of stalking in different clinical settings. We searched the electronic databases MEDLINE (through PubMed), CINAHL (through EBSCOhost) and the search engine "Google Scholar". Searches were limited to articles published in English and Italian, and published between 1999 and 2013. Stalking refers to a behavioural pattern characterized by persistent unwanted communications and contacts imposed to another person, which, consequently suffer from distress, fear, and anxiety. Several studies explored the risk of stalking in healthcare system, especially in doctors and psychiatrists. Some authors analysed nurses' experience of stalking with particular attention to mental health professionals as a group category with an increased risk of stalking by patients. Results of some studies carried out in different clinical settings (medical and surgical areas, and other healthcare settings) also revealed, even if in a minority, the presence of this phenomenon, showing the presence of staking's behaviours by patients and healthcare colleagues too. However, more researches with large sample size are needed to better understand the phenomenon of stalking in nurses working in different clinical areas
Multilevel perspectives in clinical learning environments' assessment: An insight onlevels involved in planning nursing education
No full textBackground: Clinical learning in nursing education is workplace-based and it involves both learning and organizational
factors. Students could experience these factors both at individual and at group level. This study aimed to assess clinical
learning environment as a multilevel phenomenon, by grouping students’ perceptions at different organizational levels.
Method: A cross-sectional multilevel design has been conducted. 3 Italian Universities, 6 Hospitals and 73 wards have
been involved in the study during 2013. Wards with at least 3 attending nursing students have been included. The sample
involved 597 nursing students (average age 23.1 years, SD = 4.67 years; 72.6% females; 27.2% attending first year; 31.7%
second year; 41.1% third year). Clinical Learning Environment and Supervision plus Nurse teacher (CLES+T) scale has been administered. Intraclass Correlation Coefficients (ICC) have been estimated at ward, at hospital and at University
level.
Results: All ICCs scores were above 0.10 and they indicated clinical learning environment as a multilevel phenomenon.
The most pertinent level to multilevel research was the ward level. The nurse teacher scale was pertinent to Hospital and
University level.
Conclusions: Clinical learning environment is a multilevel phenomenon. These findings could enhance research development
in this field of studies. Practical implications suggest multilevel approach in order to detect the most effective organizational level to improve educational intervention
CONOSCENZE ED ATTITUDINI DEGLI INFERMIERI DELL’AREA EMERGENZA NELLA GESTIONE DEL PAZIENTE PSICHIATRICO
No full textPredittori di riammissione non pianificata a trenta giorni, tra i pazienti di un servizio di Cure Domiciliari: aggiornamento e confronto 2011-2014
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