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Relazione tra mentore e neofita : indagine fenomenologica sulla socializzazione del novizio infermiere in area critica
No full textGOAL: this article is aimed at examining the relationship and experience between expert and novice nurses in intensive care unit; it also assesses the implementation of mentorship functions by expert nurses. DESIGN: phenomenological. SETTING: three university hospitals, in Milan. SAMPLE: 11 expert nurses, 11 novice nurses. Outcome measurement: the expert and novice nurses of our sample have been interviewed in a semi-structured context; the interviews have been audio taped and transcribed. The results of transcription have been analyzed through the Van Kaam method, to find major topics, and compared the topics found with the literature reviewed. Furthermore Darling's questionnaire was tested, as a pilot study, to assess the implementation of mentorship functions by expert nurses. RESULTS: during the first three months in ICU, novice nurses experienced a reality shock. They said that the environment was very different from the other wards, patients were complex and unstable and there were too many things to learn. Frequently they felt frustration and inadequacy. For novice nurses positive mentoring experience, group support, congruent assignment and evaluation were related to high self-confidence, low anxiety, high job satisfaction, and low intention to leave the unit. Despite there were not formal mentoring program in the structure analyzed, novice nurses gave high evaluation to expert nurses in Darling's questionnaire. CONCLUSION: the socialization process of a neophyte in ICU is complex. Therefore, it is necessary to plan it very well. Great importance have in this period mentor relationship, group support, congruent assignment and evaluation. This things could lower voluntary turnover and shortage, two big problems for the nowadays nursing profession. It could be interesting to implement a formal mentoring program in Italy too, to assess the practicability of it
Accoglimento ed inserimento dell'infermiere novizio : un'indagine nelle "aree critiche" di 10 aziende ospedaliere milanesi
No full textGOAL: this article examined the socialization tactics implemented by the organizational system in intensive care units of ten Hospitals of Milan, in order to help novice nurses to better start their new job. DESIGN: descriptive.Setting: Intensive Care Unit (ICU) in ten hospitals in Milan. OUTCOME MEASUREMENTS: the organizational systems of our sample were interviewed through e-mailed questionnaires. They were asked about which kinds of socialization tactics they plan and implement to help novice nurses to socialize with the new context during the first period in ICUs. RESULT: in most of the ten Hospitals there is a planned process to help novice nurses to socialize with the new context, with congruent assignment and evaluation (the percentage varied from 66% in emergency rooms to 100% in Neurosurgery Intensive Care Units). In every hospital, a novice nurse is assigned to expert nurses who help him/her during the first months. The period in which a novice nurse is in excess in the staff and where He/She depend closely to mentor's supervision varies from one to tree months. The total planned socialization period varied from three to six months but It is never shorter then tree months. The nurses' turn-over is a criticality since it often causes a decrease in the abovementioned periods. The criteria used to chose experts nurses often include clinical experience and good evaluation of their job. In the examined contexts, expert nurses lacked specific qualifications in educational skills or specific training adult education. CONCLUSIONS: a neophyte's socialization process in ICUs is complex. Therefore, it is necessary to plan it carefully. The relationship with the mentor, the group support, a congruent assignment and evaluation are matters of great importance during this period. In the examined contexts, almost all these factors were considered and implemented, but shortage and voluntary turn-over of nursing staff often compromised the full implementation of these socialization tactics. Another feature usually not implemented in the hospital managements interviewed was a specific education of expert nurses, especially in the adult-education field
La figura del mentore e l'infermiere : indagine conoscitiva sulla relazione novizio/esperto in tre Aziende Ospedaliere universitarie di Milano
No full textUn'esperienza osservazionale di una organizzazione di struttura semplice : qualità, formazione e privacy
No full textIl primo master per coordinatori infermieristici di unità operativa o dipartimento
No full textQuesto lavoro si propone di condividere l'esperienza dell'Università degli Studi di Milano- Facoltà di Medicina e Chirurgia- in merito al Master per Coordinatori infermieristici di Unità Operativa e/o di Dipartimento, finanziati con FSE dell'A.A. 2003-2004.
Nello specifico tale articolo vuole fotografare:
- l'aspetto organizzativo: selezione per l'amissione, piano teorico formativo;
- la metodologia utilizzata, consonna all'apprendimento degli adulti;
- la qualità percepita dai discenti
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
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