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Toward the Definition of a Repertoire of Technical Professional Specialist Competencies for Operating Room Nurses: An Ethnographic Study.
Full text linkRegistered nurses in the operating room require specialized competencies that surpass
basic educational training. Existing national and international documents attempt to outline these
competencies but often lack comprehensive details. To address this, a repertoire of technical and pro
Citation: Reato, F.; Bresil, A.;
D’Angelo, C.; Gorli, M.; Ivziku, D.;
Lommi, M.; Carcano, G. Toward the
Definition of a Repertoire of Technical
Professional Specialist Competencies
for Operating Room Nurses: An
Ethnographic Study. Healthcare 2024,
12, 1774. https://doi.org/10.3390/
healthcare12171774
Academic Editor: Abdel-Latif
Mohamed
Received: 21 July 2024
Revised: 29 August 2024
Accepted: 1 September 2024
Published: 5 September 2024
Copyright: © 2024 by the authors.
Licensee MDPI, Basel, Switzerland.
This article is an open access article
distributed under the terms and
conditions of the Creative Commons
Attribution (CC BY) license (https://
creativecommons.org/licenses/by/
4.0/).
fessional competencies for operating room nurses, aligned with European and National Qualifications
Frameworks, is proposed. Aim: Develop a repertoire of technical and professional competencies for
perioperative and perianesthesiological specialist nursing roles. Methods: An at-home ethnography
design was employed, utilizing participant observation, interviews to the double, and focus groups.
Convenience sampling included 46 participants from a university and a public hospital in northern
Italy. Data were collected from September 2021 to June 2023 and analyzed using inductive content
analysis and data triangulation. Results: Identified 17 specialized technical professional compe
tencies for perioperative and perianesthesiological nursing, divided into 6 areas of activity. These
competencies encompass 19 learning outcomes, 152 tasks, 222 knowledge elements, and 218 skills.
Conclusions: This competency repertoire aids in the public recognition of qualifications and serves
as a valuable tool for identifying, validating, and certifying competencies. Future research should
focus on exploring the competencies of central sterilization nurses and transversal competencies
Going Beyond Counting First Authors in Author Co-citation Analysis
Full text linkThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
Nursing student attitudes towards older people: validity and reliability of the Italian version of the Kogan Attitudes towards Older People scale
Full text linkAim. This paper reports a study testing the validity and reliability of the Italian version of the Kogan Attitude towards Older People scale.
Background. Nursing students’ attitudes towards older people can affect their
preference for working with them. One of the most common instruments used to
assess these attitudes is the Kogan Attitude towards Older People scale. Previous validation studies performed on college students internationally have demonstrated good reliability and validity. The psychometric properties of the Italian version have not yet been tested.
Design. A cross-sectional, descriptive study.
Method. The study was conducted from March–June 2010 with a convenience
sample of nursing students attending two Italian universities. Reliability was evaluated using internal consistency and item-to-total correlation. Content and construct
validity were evaluated using a content validity index and principal factor
analysis.
Results. A total of 1637 nursing students participated in the study. Two factors were extracted from the factor analysis: prejudice describing a negative disposition and appreciation indicating a favourable feeling and opinion towards older people.
Conclusion. The Kogan Attitude towards Older People scale applied to Italian
nursing students exhibited good internal consistency. The two-dimensional construct of the scale was congruent with some, but not all, results of previous studies due to methodological differences among the studies. Based on the study findings,
the scale can be recommended for future research studies in Italy including use as pre/post-test measurement associated with nursing education programmes
Toward the Definition of a Repertoire of Technical Professional Specialist Competencies for Operating Room Nurses: An Ethnographic Study
No full textRegistered nurses in the operating room require specialized competencies that surpass basic educational training. Existing national and international documents attempt to outline these competencies but often lack comprehensive details. To address this, a repertoire of technical and professional competencies for operating room nurses, aligned with European and National Qualifications Frameworks, is proposed. Aim: Develop a repertoire of technical and professional competencies for perioperative and perianesthesiological specialist nursing roles. Methods: An at-home ethnography design was employed, utilizing participant observation, interviews to the double, and focus groups. Convenience sampling included 46 participants from a university and a public hospital in northern Italy. Data were collected from September 2021 to June 2023 and analyzed using inductive content analysis and data triangulation. Results: Identified 17 specialized technical professional competencies for perioperative and perianesthesiological nursing, divided into 6 areas of activity. These competencies encompass 19 learning outcomes, 152 tasks, 222 knowledge elements, and 218 skills. Conclusions: This competency repertoire aids in the public recognition of qualifications and serves as a valuable tool for identifying, validating, and certifying competencies. Future research should focus on exploring the competencies of central sterilization nurses and transversal competencies
Variations on the Author
Full text link“Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship
Appropriate Similarity Measures for Author Cocitation Analysis
Full text linkWe provide a number of new insights into the methodological discussion about author cocitation analysis. We first argue that the use of the Pearson correlation for measuring the similarity between authors’ cocitation profiles is not very satisfactory. We then discuss what kind of similarity measures may be used as an alternative to the Pearson correlation. We consider three similarity measures in particular. One is the well-known cosine. The other two similarity measures have not been used before in the bibliometric literature. Finally, we show by means of an example that our findings have a high practical relevance.information science;Pearson correlation;cosine;similarity measure;author cocitation analysis
The experiences of self-care in community-dwelling older people: A meta-synthesis
No full textobjectives: to identify, critically appraise and synthesize qualitative evidence of self-care experiences in health promotion for home-dwelling elders.design: a meta-synthesis was conducted following the Joanna Briggs Institute guidelines and using Qualitative assessment and review Instrument software.data sources: the literature search was conducted on pubmed, CINHAL, embase, psyclnfo, eric and ILISI databases from inception up until March 2015. Other articles were searched on Scopus and Web of Knowledge. The reference list of all the identified articles was also searched for additional studies. studies published in english, italian, french, portuguese, and spanish were considered for inclusion in the review.review methods: data from the selected qualitative articles were extracted independently by two reviewers using the data extraction tool of the joanna briggs institute-qualitative assessment and review Instrument. the meta-synthesis involved the following three steps: the production of a set of statements representing the aggregated data obtained by assembling the findings of qualitative studies; the categorization of findings on the basis of similarity in meaning; and the aggregation of these categories to produce a comprehensive set of synthesized findings. no studies were excluded due to methodological quality.results: of the 4001 records identified, 11 articles met the inclusion criteria. Most articles were conducted in scandinavian countries and used a phenomenological design. most elders in the sample were middle-class, cognitively intact, independent, and in good health. the meta-synthesis revealed that older people living at home make decisions about their self-care activities on the basis of their attitudes toward their life and future. these self-care activities are directed toward holistic wellness, prevention and treatment of aging effects, obtaining a sense of satisfaction, and self-realization. Furthermore, self-care activities are settled in a social and relational network that allows old people to take care of themselves and of others or to be cared for by others.conclusions: this meta-synthesis presents the perspectives of home-dwelling old people on health-promoting self-care experiences. Such information can help healthcare professionals to maintain long-term autonomy of elders in self-care and to promote healthy aging. further qualitative research describing self-care experiences of home-dwelling elders from different cultures, education levels, and social backgrounds is needed. (C) 2015 Elsevier Ltd. all rights reserved
Systematic review and psychometric properties analysis of first-, middle-, and top-level nurse manager's core competencies instruments
Full text linkPurpose. Healthcare organisations need to define the role of the nurse manager in light of recent global health developments. For this purpose, several core competencies essential for each hierarchical management level need to be assessed. Different measurement instruments have been developed to assess nurse managers' competencies. This systematic review summarises the characteristics and psychometric properties of existing instruments measuring first-, middle-, and top-level nurse managers' competencies. Methods. Following PRISMA guidelines for reporting and COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) guidelines, 789 articles were retrieved from PubMed, Scopus, CINAHL, and APA PsycINFO databases with no time limitation. The review protocol was registered on PROSPERO (CRD42023425854). Results. Ten tools were identified, assessing one or more competencies among nurse managers: Competency Elements for Nurse Managers of Tertiary General Hospitals, NICA-NL, HCCI, I-FLNMMCS, NMCI, Chase Nurse Manager Competency Questionnaire, CASHN, Questionnaire for Head Nurses' Managerial Competencies, Nurse Manager EBP Competency Scale, and the Home Healthcare Nurse Manager Assessment Tool. Conclusion. Following the COSMIN assessment, the Chase Nurse Manager Competency Instrument was the most comprehensive among the included instruments, and the CASHN questionnaire scored highest on methodological quality and level of evidence. These instruments can be used in clinical practice to evaluate competencies and as a basis for developing managerial training courses
Effectiveness of dyadic interventions to improve stroke patient–caregiver dyads’ outcomes after discharge: A systematic review and meta-analysis study
No full textBackground Because of the importance of a dyadic approach, it is necessary to conduct a systematic review to identify which dyadic intervention could be implemented for stroke survivor-caregiver dyads after discharge from the rehabilitation hospital to improve outcomes. Aims The aims were to systematically review the evidence to identify which dyadic interventions have been implemented in stroke survivor-caregiver dyads to improve stroke survivor-caregiver dyads' outcomes and to analyse, through a meta-analysis, which intervention was found to be the most effective. Methods A systematic review and meta-analysis were conducted using the following electronic databases: PubMed, CINAHL and PsycInfo. Randomized controlled trials (RCTs) and quasi-RCT studies published within the last 10 years were included. Quantitative data were extracted from papers included in the review using the standardized data extraction tool from JBI-MAStARI. Pooled effects were analysed between the experimental and control groups for each outcome. Results Sixteen studies involving 2997 stroke survivors (male gender=58%) and 2187 caregivers (male gender=25%) were included in this review. In 16 studies, which were subdivided into three quasi-RCTs and 13 RCTs, the application of dyadic interventions for stroke survivors and caregivers was systematically reviewed, but only a few of these identified a significant improvement in the stroke survivors' and caregivers' outcomes of its intervention group. Dyadic interventions showed a significant effect on stroke survivors' physical functioning (p=0.05), memory (p<0.01) and quality of life (p=0.01) and on caregivers' depression (p=0.05). Conclusions This study provides moderate support for the use of a dyadic intervention to improve stroke survivors' physical functioning, memory and quality of life and caregiver depression
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