1,721,056 research outputs found

    L’uso degli smartphone nel personale infermieristico: una revisione narrativa della letteratura

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    INTRODUZIONE: In campo sanitario, lo smartphone sta diventando uno strumento importante tra il personale infermieristico. Grazie agli smartphone è stato possibile implementare nuovi modelli assistenziali. Tuttavia se utilizzati in maniera non corretta potrebbero essere la causa di distrazione e dell’aumento di infezioni ospedaliere. OBIETTIVO: Analizzare le varie app per smartphone utilizzate dal personale infermieristico e descrivere gli aspetti negativi e positivi che gli smartphone possano avere nelle attività assistenziali e nel personale infermieristico. METODO: Sono stati consultati i seguenti database: PubMed, CINAHL, SCOPUS e Web of Knowledge, Google Schoolar. Le seguenti parole chiavi sono state utilizzate: ((nurse* NOT (student* OR physician*) AND (smartphone* OR phone* OR mobile* OR cellphone) AND (app OR use* OR benefit OR distraction OR stress OR abuse OR work-related). RISULTATI: Un totale di 34 articoli sono stati inclusi nella revisione. Sono state descritte app per il dosaggio dei farmaci, per la rilevazione della frequenza cardiaca e per controllare a distanza pazienti affetti da diverse patologie croniche. Se da un lato gli smartphone potrebbero essere causa di distrazione, contaminazione batterica o interferenza con altri dispositivi dall’altro potrebbero migliorare il benessere, la soddisfazione al lavoro, diminuire lo stress ed aumentare la produttività. CONCLUSIONI: La revisione della letteratura evidenzia potenziali benefici dall’uso degli smartphone, ma se usato in maniera impropria, per motivi di distrazione o interruzione, potrebbe avere conseguenze negative sulla qualità della cura e la sicurezza dei pazienti. Per questo motivo, gli infermieri dovrebbero fare attenzione quando usano il loro smartphone per attività non lavorative.INTRODUCTION: In healthcare, smartphone is becoming an important tool among nursing population. With the smartphones, it was possible to implement new care models. However, if used incorrectly, it could be the cause of nurses’ distraction and nosocomial infection. AIM: To analyze the various apps used by the nursing population and describe the smartphones’ positive and negative aspects on health care by review the literature. METHOD: PubMed, CINAHL, SCOPUS e Web of Knowledge, Google Schoolar, databases were used to perform this study. The following keywords were used: ((nurse* NOT (student* OR physician*)) AND (smartphone* OR phone* OR mobile* OR cellphone) AND (app OR use* OR benefit OR distraction OR stress OR abuse OR work-related). RESULTS: A total of 34 articles were included in the review. Medical calculation, heart measurement and chronic patient-nurse communication apps were described. While smartphones may cause distraction, nosocomial infection or interference with other medical devices, on the other hand they could improve the well-being, job satisfaction, productivity and decrease stress in nurse population. CONCLUSIONS: There are potential benefits of the smartphone use, but the smartphone misuse could have negative consequences on the quality care and patient’ safety due to nurses’ distraction and interruptions. For this reason, nurses should be careful when they use their smartphone for no work-related activities

    Fattori predittivi delle aggressioni nel personale sanitario: uno studio multicentrico [Determinants of the aggressive behaviors in nursing staff: a multicentric study]

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    Introduction: Nurses are at greater risk of violence during their working hours. About 31% of all aggressions towards nurses occur in hospital or in care settings. The problem of aggressions on healthcare workers is difficult to classify, as the number of aggressions is often underestimated. For this reason, the aim of this study is to analyze physical, verbal and sexual aggressions on nursing staff and identify their predictors. Methods: A cross sectional study was performed. A sample of convenience was recruited consisting of nurses practicing in the Italian territory. The research team recruited subjects from various hospital, outpatient or territorial settings. The criteria for participation in the study were: (1) being registered nurses; (2) not being in an idle state (e.g. retirement). Multiple linear regression was used to identify the predictive variables of physical, verbal and sexual aggression. Results: The sample consisting of 518 nurses had an average age of 37.5 years.The sample consisted prevalently of female subjects, with medium-high educational attendance. About 90% of the sample claims to have suffered physical, verbal and / or sexual aggressions during their working hours. People with a lower educational level, belonging to the southern regions are more at risk of physical and verbal aggression, while the female gender is a predictor of sexual assaults. Conclusions: The results of this study highlight how physical, verbal and sexual violence in nursing staff are non-isolated but highly frequent issues, being part of the daily working life of many health professionals

    Emergency percutaneous coronary intervention and stent implantation: Patients' lived experiences

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    Introduction: Given that emergency procedures must be performed immediately and without the possibility of sufficiently informing and preparing a patient, the lived experiences of patients who undergo emergency procedures and those who undergo elective procedures may well differ. Elucidating the lived experiences of patients who underwent percutaneous coronary intervention (PCI) with stent implantation in an emergency situation is crucial because such knowledge might prove helpful in tailoring post-procedure interventions intended to improve the lives of PCI patients. Aim: To describe the experiences of patients 1 month after they underwent emergency PCI with coronary stent implantation. Methods: Cohen's phenomenology was applied in this study. This method combines the characteristics of descriptive (Husserlian) phenomenology with those of interpretative (Gadmerian) phenomenology, and it is by nature an inductive approach. The participants were enrolled 1 month after undergoing PCI with coronary stent implantation. They were interviewed using open-ended questions to provide them full freedom of expression. They were asked to describe their experiences of the PCI and stent implementation they have gone through. This study followed the recommendations of the Standard for Reporting Qualitative Research. Results: Our sample consisted of 15 participants. Data analysis revealed three main themes: (1) catheter lab and pain, (2) anxiety and feeling uncertain about the future, and (3) lifestyle changes. The anxiety theme encompassed two subthemes: (a) anxiety related to the procedure and (b) anxiety related to the continuation of life. Conclusion: Our study is one of the first works to explicitly investigate the lived experiences of patients who underwent emergency PCI. Understanding the experiences of these patients is key in understanding their realistic needs and concerns. Relevance to clinical practice: Knowledge of the lived experiences of patients who underwent emergency PCI with coronary stent implantation is fundamental in identifying aspects that warrant tailored interventions

    Going Beyond Counting First Authors in Author Co-citation Analysis

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    The 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

    HOMECARE WORKERS IN ITALY: A NARRATIVE REVIEW

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    Introduction: The progressive ageing and ever-increasing life expectancy of the world’s population are accompanied by an increase in chronic debilitating pathologies. Italy continues to be the nation with the highest percentage of senior citizens. Over the past decades, the recourse to hospitalisation is destined only to acute care while it is entrusted to the territory of the care of chronicity. Recent economic crises and movements of social change have led to a gradual increase in the use of homecare workers for the territorial and family management of chronic illnesses. Contrary to happened in the other countries, in Italy prevailed an informal logic regarding the recruitment and use of these workers, hindering the evolution of this sector. Aim: This study focuses on the role of homecare workers in Italian research. Results: From the analysis of heterogeneous Italian literature, the importance of homecare workers is clear. Their work not only influences assisted individuals but also informal caregivers and the direct costs of Italian national health system. Conclusion: Homecare workers in Italy’s society are important. The little attention the scientific literature has paid to this population may be due to the difficulty of finding subjects with a legal status and, therefore, willing to participate in specific investigations. Investigating the dyad of care and extending these investigations to the family surrounding context seem to be the main priorities that should be explored in future research

    Variations on the Author

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    “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

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    We 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

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    We 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

    Author Index

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