1,720,988 research outputs found
Il riconoscimento sociale, professionale, economico ed istituzionale della professione infermieristica: risultati di un’indagine fra gli infermieri italiani
Full text linkINTRODUCTION: The crisis of the nursing profession in Italy is real on a social, professional, economic, and institutional level. It seems that the current problems largely mirror those present in Italy more than a hundred years ago.
METHODS: An online cross-sectional survey was conducted from 23 December 2022 to 23 January 2023. Nurses were asked to rate on a Likert scale from 1 (lowest) to 10 (highest) their agreement with the 20 statements in the questionnaire, referring to the general Italian nursing context. The content of the statements corresponded to some problems present in the Italian nursing context at the turn of the century between 1800 and 1900.
RESULTS: 477 nurses participated in the survey. The instrument proved to be valid and reliable: the exploratory factor analysis showed loadings above the Stevens cutoff highlighting the existence of the seven domains envisaged when the instrument was constructed. The internal consistency was satisfactory (global omega=0.894).
DISCUSSION/CONCLUSION: After one hundred years, institutional interventions in the direction of a European and global modernization of the profession are still awaited. It is true that nurses professional autonomy, which several European states were already building at the dawn of the 1900s, was only celebrated in our country in the last decade of the previous century, but we are not in a position to wait another century for concrete intervention. Professional neglect has already reaped its victims to a large extent, and without nurses, the Italian healthcare system is at risk.INTRODUZIONE: La crisi della professione infermieristica, in Italia, è reale sul piano sociale, professionale, economico ed istituzionale. Sotto molti aspetti, sembra che i problemi attuali rispecchino in buona parte quelli che erano presenti in Italia più di cent’anni fa.
METODI: Dal 23 Dicembre 2022 al 23 Gennaio 2023 è stata condotta un’indagine trasversale online. Per rispondere al questionario è stato chiesto agli infermieri di valutare su scala likert da 1 (minimo) a 10 (massimo) il loro accordo con le 20 affermazioni presenti nel questionario, riferite al contesto infermieristico generale italiano. Il contenuto delle affermazioni corrispondeva ad alcune problematiche presenti nel contesto infermieristico italiano nel passaggio di secolo fra il 1800 ed il 1900.
RISULTATI: Hanno partecipato all’indagine n.477 infermieri. Lo strumento utilizzato si è dimostrato valido e affidabile: l’analisi fattoriale esplorativa ha mostrato carichi sempre superiori al cutoff di Stevens e al cutoff convenzionale di 0.30, evidenziando l’esistenza dei 7 domini previsti in fase di costruzione dello strumento. La consistenza interna è risultata soddisfacente (omega globale=0.894).
DISCUSSIONE/CONCLUSIONI: Dopo cent’anni, gli interventi istituzionali in direzione di una modernizzazione europea e globale della professione si fanno ancora attendere. É pur vero che l’autonomia professionale, delineata in diversi Stati europei già agli albori del 1900, nel nostro Paese è stata festeggiata solo nell’ultima decade del secolo scorso ma non siamo ora nelle condizioni di protrarre di un secolo l’attesa di un intervento concreto. L’abbandono professionale ha già mietuto ampiamente le sue vittime e, senza infermieri, è a rischio il sistema sanitario nella sua globalità
Virtual Gamification in Mental Health Nursing Education: An In-Depth Scoping Review
No full textAIM: this scoping review aims to define the state of the art of virtual gamification in the specific field of mental health nursing education. Part of the aim is to identify the virtual tools used/developed and their contexts, the relevant theoretical reference frameworks, the received funds, and the possibility of using the tools in standalone mode (i.e., without third-party intervention). METHODS: a large three-step scoping review was performed following the Johanna Briggs Institute (JBI) criteria. PubMed, Scopus, CINAHL, Web Of Science, Embase, Cochrane Library were searched for relevant articles; references search and a large gray literature throught Google Scholar, ClinicalTrials.gov, Turn Research Into Practice, MedRXiv, OSF PrePrints, and Open Access Theses and Dissertations search were also performed. RESULTS: Substantial overall heterogeneity was found among the n = 35 studies included in this review. 29 virtual tools were described. The most commonly used type was the video-based serious games with responsive unfolding scenarios, followed by virtual realities. 19 out of 29 tools were usable in ‘standalone’ mode. CONCLUSIONS: The outcomes reported in this review support the use of Virtual Serious Games with mental health nursing students. Nursing educators who want to implement Virtual Game Simulations now have free tools and relatively inexpensive possibilities to create and use virtual serious games
[Competencies of Nephrology Nurses in Italy: A Nationwide Cross-Sectional Study]
No full text: Background. Nurses working in nephrology play a critical role in managing patients with kidney diseases, providing highly personalized care that integrates advanced technical and specialized competencies. However, the absence of a formal professional profile in Italy limits both professional development and the standardization of competencies. This study aims to explore the basic and advanced competencies of nephrology nurses to propose unified educational and professional standards. Design. A cross-sectional study based on an ad hoc questionnaire was conducted between March and May 2024 among nurses working in nephrology within the National Health Service, with dissemination support from the Society of Nephrology Nurses. The questionnaire was structured into three sections: theoretical knowledge, practical competencies, and professional development, and was validated through a pilot phase. Data were analyzed using SPSS 27 software. Results. The study involved 296 nurses, 77% of whom were employed in hemodialysis. Only 14% reported having completed specific post-basic training courses, while 71% expressed interest in further educational opportunities. Technical-specialist competencies in hemodialysis were widely applied, but significant gaps were identified in pharmacological management (37% with moderate or low competency levels) and nutrition (35% with moderate or low competency levels). Decision-making and communication skills scored higher, with 65% of participants perceiving themselves at a high or excellent level in these areas. Conclusion. This study represents an important step towards defining a comprehensive professional profile for nephrology nurses in Italy. The findings underscore the need of standardized educational and professional frameworks to promote formal recognition of this specialization while enhancing the quality of care through advanced competencies, humanized approaches, and personalized patient support
Semantic Evaluation of Nursing Assessment Scales Translations by ChatGPT 4.0: A Lexicometric Analysis
No full textBackground/Objectives: The use of standardized assessment tools within the nursing care process is a globally established practice, widely recognized as a foundation for evidence-based evaluation. Accurate translation is essential to ensure their correct and consistent clinical use. While effective, traditional procedures are time-consuming and resource-intensive, leading to increasing interest in whether artificial intelligence can assist or streamline this process for nursing researchers. Therefore, this study aimed to assess the translation’s quality of nursing assessment scales performed by ChatGPT 4.0. Methods: A total of 31 nursing rating scales with 772 items were translated from English to Italian using two different prompts, and then underwent a deep lexicometric analysis. To assess the semantic accuracy of the translations the Sentence-BERT, Jaccard similarity, TF-IDF cosine similarity, and Overlap ratio were used. Sensitivity, specificity, AUC, and AUROC were calculated to assess the quality of the translation classification. Paired-sample t-tests were conducted to compare the similarity scores. Results: The Maastricht prompt produced translations that are marginally but consistently more semantically and lexically faithful to the original. While all differences were found to be statistically significant, the corresponding effect sizes indicate that the advantage of the Maastricht prompt is slight but consistent across all measures. The sensitivity of the prompts was 0.929 (92.9%) for York and 0.932 (93.2%) for Maastricht. Specificity and precision remained for both at 1.000. Conclusions: Findings highlight the potential of prompt engineering as a low-cost, effective method to enhance translation outcomes. Nonetheless, as translation represents only a preliminary step in the full validation process, further studies should investigate the integration of AI-assisted translation within the broader framework of instrument adaptation and validation
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
Methodological approach to perform systematic review on nutritional and physical prehabilitation in head and neck cancer patients
No full textSummary: Malnutrition is frequently observed among patients with head and neck cancer, adversely affecting overall health and treatment outcomes. Prehabilitation, both nutritional and physical, is emerging as a strategy to optimize the nutritional status of these patients before commencing anti-cancer treatments such as chemotherapy and radiotherapy. This review methodology is designed to guide a systematic review with clear objectives: to analyze the issue of malnutrition in patients undergoing anti-cancer treatments, identify prehabilitative interventions, both nutritional and physical, aimed at promoting an improvement in nutritional status, and ascertain the most effective prehabilitative interventions in the clinical setting. With the publication of this review protocol, the aim is to provide a foundation for future systematic reviews in this emerging discipline
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
- …
