196,052 research outputs found
La visita domiciliare per gli studi di coppia per l'adozione nazionale e internazionale
La visita domiciliare all’interno dell’indagine di coppia per l’adozione è uno degli strumenti di analisi della capacità dei coniugi di accogliere e curare il futuro figlio adottivo. Durante la visita alla casa di famiglia vengono, infatti, raccolte informazioni capaci di integrare e/o spiegare quanto raccolto nei colloqui individuali e di coppia. Attraverso l’analisi narrativa delle interviste condotte alle assistenti sociali di alcune Équipe Adozioni del territorio veneto, in merito all’utilizzo della visita domiciliare in questo specifico ambito del lavoro sociale, è stato possibile rilevare gli aspetti di somiglianza, pur in assenza di specifiche linee guida, ma anche la non piena attuazione delle potenzialità di questo strumento nella lettura dei contesti
DOLORE E PERCEZIONE DI EFFICACIA DEL TRATTAMENTO: INDAGINE OSSERVAZIONALE
The study has evaluated the subjective pain treatment perception in hospitalized patients with an observational cross-sectional design, using a measurement model based on the American Pain Society-Pain Outcome Modified-Questionnaire (APS-POQ-M). The survey has been designed accordingly with other published studies for results comparison. Data were collected from 350 hospitalized patients - with diagnoses highly related to pain - in 46 medical-surgical units in a large university hospital. Results revealed that 73% of the interviewed declared pain. Current pain, ranged from 0-10, had a median score of 3.8. The worst pain over the last 24 hours scored 6.8 where the 24-hours average pain was 4.9. The patients surveyed reported interference caused by pain in the daily activity, however, they were also generally satisfied with the ongoing pain control treatment. Statistically significant relationships have been found between level of satisfaction with treatment and mood and relationships but none with pain
Undergraduate nursing students' attitudes towards organ donation: a survey in an Italian university.
Aims: To examine undergraduate nursing students' attitudes towards organ donation and to determine whether or not attitudes were related to the students' education and training.
Background: Nurses' knowledge and personal opinion can influence patient's willingness to donate organs or to hold an organ donor card. It is unclear how Italy's future nurses view organ donation.
Methods: The study's source population consisted of third-year undergraduate nursing students enrolled in seven nursing schools from an Italian university during 2008. Respondents completed self-administered quantitative questionnaire with 61 questions, including the Organ Donation Attitude Scale.
Findings: Of the 378 students contacted, 183 (48%) completed all survey questions; 140 were females (76.5%) and the mean age of students was 25. The median score of students' attitude scores towards organ donation was 151 (the attitude is positive when the score is higher than 161). No significant correlations were found to exist between organ-donation attitude and sex, age, clinical practice in hospitals with a transplant unit, nursing care to patients waiting for a transplant or dialysis patients. Only 16% of the students had previously signed a donor card consenting to their own organ donation. The study revealed that doubts about transplantable organs still exist within the student body.
Conclusions: This study highlighted that students' awareness of organ donation was not adequate and that attitude levels were lower than in other countries. If these future workers would receive adequate training, they could promote organ donation to the general public and to other hospital personnel
Nurses knowledge and attitudes towards living kidney donation : a survey at two Italian renal units.
AN INTERNATIONAL SURVEY ON ATTITUDES OF RENAL NURSESTOWARDS OLDER PEOPLE
Background: Previous studies have indicated that healthcare providers do not enjoy taking care of older people, because of
poor attitudes towards the elderly.
Aim: The purpose of this cross-sectional study is to identify and describe the attitudes of a worldwide sample of renal nurses
towards older people.
Method: A convenience sample composed of renal nurses worldwide completed a socio-demographic questionnaire and the
Kogan’s Attitude towards Old People Scale (KOAP).
Results: We received 1,061 completed questionnaires from nurses in 12 countries. Participants were mainly female (81%), their
average age being 42.69 (SD 8.70); 74% of nurses had older people in their families and 51% had lived with older people.
The sample reported slightly positive attitudes towards the elderly [mean score (SD) 151.50 (17.9)]. Attitudes were influenced
by continent, country, religion, presence of older people in the family and level of nursing education (p 0.0001).
Conclusion: Our study has shown that renal nurses have slightly positive attitudes towards older people but attitudes could be
improved with specific information being provided to renal nurses, to obtain better care
Preliminary results of the survey on attitudes of the European renal nurses towards older people
National Associations (NAs) project. Violence & aggression: prevention and management strategies in European dialysis, nephrological and transplantation units.
Aim: The descriptive survey aims to explore strategies for prevention and
management of violence and aggressions in dialysis units in the different
European countries.
Method: The convenience sample was composed of dialysis,
nephrological and transplantation units in European countries. We used a
questionnaire developed with the collaboration of NAs, piloted on a group
of renal workers. It consists of 2 parts (26 questions), and it was completed
by the head-nurse or a delegated nurse in the unit. Each NA appointed a
Representative colleague. They lead the project in every country and
translated the questionnaire if necessary. Questionnaires were distributed
in paper or electronic form, by mail or during congresses. Data were
analysed using STATA software. It was performed a preliminary descriptive
variable analysis and then verified the association between variables using
the χ2 test; values of p < 0.005 were considered statistically significant.
Results: We received 568 completed questionnaire from units from
13 countries (participation rate (21 %). 436 questionnaires were completed
in 12 European countries. Results shows that written policies and
procedure regarding violence and aggression are present only in 18 % of
units. Educational strategies are diffused in less than the 20 % of units.
Events are prevented mainly by security staff (48 %) or pharmacological
treatment (66 %). Incident report is mandatory for any violence and
aggressions behaviour in 66 % of units. University and private hospitals
implement more strategies. There are differences between European
countries.
Discussion and conclusion: Violence and aggression prevention and
management strategies are not widely implemented in European countries.
It would be useful to construc
Una comparación de la motivación del estudiante en una selección de grado en enfermería o enfermería pediátrica en una universidad italiana
Perceived aggression towards nurses: study in two Italian health institutions
AIMS: The goal of the present study was to quantify the perceived aggression towards nurses working in two Italian health care institutions and to verify the hypothesis of an association between the characteristics of aggressors and the type of aggression.
BACKGROUND: Violence and aggressiveness, particularly aimed at nurses, are a common, but inadequately investigated phenomenon in Italian health care institutions.
DESIGN: A cross-sectional study.
METHODS: The study was performed, studying a sample of 700 nurses (37% of the personnel in 94 units) in two health care institutions in northeast Italy using an anonymous multiple-choice questionnaire.
RESULTS: Forty-nine percent of the nurses responded that they had experienced aggression in the previous year, 82% of that was only verbal. This happened more often to female nurses working in the emergency department and in geriatric and psychiatric units. A statistically significant association (p < 0.001) was found between the perception of fatigue, stress and work dissatisfaction and the frequency of aggression. Aggressors were usually patients or their relatives (57%) and were mainly men (66%). Fifty-three percent of assaulted nurses did not ask for help after the event.
CONCLUSIONS: This study confirms the high incidence of perceived, mainly verbal aggression towards nurses.
RELEVANCE TO CLINICAL PRACTICE: Action to prevent aggressive episodes may include concentrating on job motivation, encouraging participatory leadership and promoting the best possible working conditions. The absence of any systematic event reporting and documentation makes the assaulted workers feel defenceless
Aggressioni nei confronti degli infermieri
Introduzione: La violenza e le aggressioni subite nel lavoro, particolarmente dal personale infermieristico, sono frequenti, ma il fenomeno non è ancora stato adeguatamente indagato in Italia. .Gli scopi della presente ricerca sono sia di quantificare il fenomeno percepito in due Aziende Sanitarie del Nord-Est, sia di valutare i fattori associati alle aggressioni verbali e fisiche nei confronti degli infermieri.
Metodi: Lo studio, di tipo trasversale , è stato condotto in due Aziende Sanitarie del Nord-Est utilizzando un questionario anonimo. Il campione è stato di 700 infermiere rappresentante il 37% del personale di 94 Unità Operative (gli infermieri in turno il mattino del giorno della rilevazione).
Risultati: Il 49% delle infermieri intervistati afferma di aver sperimentato un aggressione negli anni precedenti, l’82% solo di tipo verbale. Nel 42% l’aggressore è stato individuato nel personale interno all’azienda e nel restante 58% in soggetti esterni. In questo caso gli aggressori sono più frequentemente i parenti maschi degli ammalati. Le unità operative in cui vi è una maggiore probabilità di aggressione sono i reparti di emergenza, di geriatria e psichiatria. E’ stata trovata una associazione tra la insoddisfazione, lo stress e la fatica nel lavoro espresse dagli infermieri e la probabilità di essere vittima di aggressione (p < 0,001). Il 53% degli infermieri aggrediti non ha denunciato l’accaduto e non ha richiesto aiuto.
Conclusione: Lo studio ha confermato l’alta frequenza delle aggressioni soprattutto verbali perpetrate nei confronti degli infermieri. L’assenza di alcuna sistematica modalità per denunciare e documentare tali eventi rende gli infermieri aggrediti maggiormente indifesi
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