1,720,963 research outputs found
Benessere professionale e staffing sicuro in area critica: studio osservazionale multicentrico nazionale. Professional well-being and safe staffing in the critical care setting: a national multicentre observational study.
No full textProfessional well-being and safe staffing in the critical care area: a national multicenter observational study.
Background: The 2008 financial crisis and COVID-19 worsened healthcare work environments, especially for critical care healthcare workers, leading to high stress, burnout, job dissatisfaction, and poorer patient outcomes, highlighting the need for improved work conditions and professional well-being.
Aim: To evaluate professional well-being and related factors among Italian critical care nurses and physicians.
Methods: This multicenter cross-sectional observational study towards online surveys investigates stress and burnout levels, job satisfaction, work environment, mental health, sleep quality, general health, work environment quality, and patient safety perception.
Results: The study involved 697 nurses and 63 physicians employed in critical care settings of 26 Italian hospitals. Key findings include high-stress levels (50.7% of nurses, 62.1% of physicians) and burnout symptoms (14.6% of nurses, 34.4% of physicians). Job dissatisfaction was reported by over half of the physicians and a third of the nurses. Poor mental health indicators were significant, with 19.9% of nurses and 23.3% of physicians at risk for generalized anxiety disorder, and 18.6% of nurses and 28.3% of physicians showing depressive symptoms. Sleep quality was poor among 44.1% of nurses and 45% of physicians. The work environment was rated as excellent by only 4.2% of nurses and 3.4% of physicians, with 19.2% of nurses and 18.9% of physicians perceiving patient safety as poor or absent. A critical care nurse works 37.3 hours per week; a physician performs 3.16 night guards per month. The care most frequently missed are health information and education to patients and family members (51.5%), developing or updating nursing care plans/pathways of care (49.2%), and frequent mobilization of the bedridden patient (49.2%).
The nurse-to-patient ratio in critical care is 1:3.4, while in emergency rooms it is 1:6.5 per nurse.
Burnout is associated with intention to leave, anxiety, perceived quality of work environment and workload (p< .001) as well as measured quality of work environment is related to job satisfaction and perceived quality of work environment (p< .001). The quality of care and the patient’s safety are related to job satisfaction and perceived quality of the work environment (p< .001).
Discussion: The study underscores the detrimental effects of reduced healthcare funding and understaffing on work conditions, particularly in critical care. It highlights the profound impacts of burnout on staff well-being and patient care, advocating for effective leadership, supportive environments, and comprehensive policies to boost healthcare professionals' well-being and ensure high-quality patient care.
Conclusions: The research findings underline the urgent need for comprehensive approaches and targeted health policies to improve staff well-being, which is crucial for patient safety and quality of care in high-intensity health care settings, as well as to counter the ever-increasing phenomenon of the intention to leave, which affects physicians and nurses and puts the Health System in serious crisis
The Impact of Continuous Education on Healthcare Workers' Attitudes Toward Old people Nutrition: A Cross-sectional Study in Italian Nursing Homes
No full textAbstract: Background: Malnutrition is a widespread issue among the old people, significantly impacting health outcomes. Nutritional interventions can improve health, but their success often depends on the attitudes and knowledge of healthcare workers. This study examines the influence of continuing education on healthcare
workers' attitudes and practices toward old people nutrition.Aim: The study assesses healthcare workers' attitudes toward old people nutrition using the validated Italian version of the SANN-G questionnaire, focusing on staff in nursing homes in Northern Italy.Methods: A cross-sectional study was conducted with 1,789 healthcare workers from 41 facilities. The SANN-G questionnaire measured attitudes across five dimensions: nutritional norms, habits, assessment, intervention, and individualization. Data were collected online and on paper, with descriptive and inferential statistical analyses (chi-square and ANOVA) performed using R software.Results: Most respondents were female (68.59%) and aged 41–50 (33.31%), with nursing assistants comprising 35.83%. Only 23.48% scored positively on the SANN-G scale, with most displaying
neutral or negative attitudes. Education on malnutrition significantly improved attitudes, particularly in assessment, intervention, and individualization. Younger respondents and nurses were more likely to have positive attitudes after educational interventions, while older respondents and physicians tended to show neutral or negative attitudes.Conclusion: Continuing education on malnutrition is crucial for fostering positive attitudes among healthcare workers. Specialized education leads to more proactive approaches, highlighting
the need for targeted educational programs to improve old people nutritional care
The structure of the Italian version of the Practice Environment Scale of the Nursing Work Index
No full textTo investigate the factor structure of an Italian translation of the Practice Environment Scale of the Nursing Work Index (PES-NWI)
Healthcare Workers’ Attitudes Toward Older Adults’ Nutrition: A Descriptive Cross-Sectional Study in Italian Nursing Homes
No full textBackground: Malnutrition is a widespread issue among older people, significantly impacting health outcomes. Nutritional interventions can improve health, but their success often depends on the attitudes and knowledge of healthcare workers. Aim: This study assesses healthcare workers’ attitudes toward older people’s nutrition using the validated Italian version of the Staff Attitudes to Nutritional Nursing Geriatric care scale (SANN-G), focusing on staff in nursing homes in Northern Italy. Methods: A cross-sectional study was conducted with 1789 healthcare workers from 41 facilities. The SANN-G questionnaire measured attitudes across five dimensions: nutritional norms, habits, assessment, intervention, and individualization. Data were collected online and on paper, with descriptive and inferential statistical analyses (chi-square and ANOVA) performed using R software (R-4.4.2 for Windows). Results: Most healthcare workers were female (68.59%) and aged 41–50 (33.31%), with nursing assistants comprising 35.83%. Only 23.48% scored positively on the SANN-G scale, with most exhibiting neutral or negative attitudes. Healthcare workers who attended a malnutrition course were more likely to exhibit positive attitudes toward nutrition, particularly in the dimension of norms, assessment, intervention, and individualization. Younger healthcare workers, with the role of nurses and who attended a course on malnutrition, were more likely to have positive attitudes, while older healthcare workers and with the role of physicians tended to show neutral or negative attitudes. Conclusions: Education on malnutrition improves healthcare workers’ attitudes toward older adults’ nutrition, especially among younger nurses. The low percentage of positive attitudes (23.48%) underscores the need for broader education programs to enhance nutritional care quality
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
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
Dispelling the Myths Behind First-author Citation Counts
Full text linkWe conducted a full-scale evaluative citation analysis study of scholars in the XML research field to explore just how different from each other author rankings resulting from different citation counting methods actually are, and to demonstrate the capability of emerging data and tools on the Web in supporting more realistic citation counting methods. Our results contest some common arguments for the continued
use of first-author citation counts in the evaluation of scholars, such as high correlations between author rankings by first-author citation counts and other citation
counting methods, and high costs of using more realistic citation counting methods that are not well-supported by the ISI databases. It is argued that increasingly available digital full text research papers make it possible for citation analysis studies to go beyond what the ISI databases have directly supported and to employ more
sophisticated methods
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