1,721,153 research outputs found

    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

    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

    Seagrass berm deposition on a Mediterranean embayed beach

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    Seagrass leaf litter is commonly found along shores all around the world. The Mediterranean Sea is not an exception, and along the sandy shore wide and thick deposits of leaf litter can be found. The deposition of these structures has not yet been studied, our aim is to clarify the depositional–erosive process of seagrass leaf litter on a Mediterranean beach. A video image system, consisting of a camera and a video camera, was used to investigate the dynamics of the deposition of seagrass litter on beaches. Time-exposure images proved useful in investigating the seagrass berm deposition over the monitored period by using the EOF analysis, while videos are used to describe every deposition and erosion cycle. The deposition of seagrass berms occurred from late October to early April, while during the rest of the year, the beach was free of litter. The first deposition occurred in October, when seagrass litter was available on the submerged bay domain, the seagrass berm erosion occurred after several peaks of wind speed, while the deposition started when the wind speed increases and the waves start to break near to the shoreline. The deposition of the leaf litter on the beach starts as a strandline at the landward edge of the wave action and proceeds seaward up to the shoreline. Litter residue, eroded away by the waves and floating in the inner surf zone can be redeposited in little patches at the end of an erosion cycle. In conclusion, leaf litter may be relevant to berm formation and litter floating in the inner surf zone and in the lower swash zone is part of the materials exchanged between submerged and emerged beach

    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

    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

    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
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