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Dall'Oglio I, Rosati GV, Biagioli V, Tiozzo E, Gawronski O, Ricci R, Garofalo A, Piga S, Gramaccioni S, Di Maria C, Vanzi V, Querciati A, Alvaro R, Biancalani L, Buonomo E, Doria M, Villani A. Pediatric nurses in pediatricians' offices: a survey for primary care pediatricians. BMC FAMILY PRACTICE 2021; 22:136. [PMID: 34187392 PMCID: PMC8243477 DOI: 10.1186/s12875-021-01457-1] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/17/2020] [Accepted: 05/12/2021] [Indexed: 02/07/2023]
Abstract
BACKGROUND The role played by nurses in caring for children in pediatricians' officies in the community is crucial to ensure integrated care. In Italy, pediatricians are responsible for the health of children aged 0-14 years living in the community. This study aimed to describe Italian primary care pediatricians' opinions about the usefulness of several nursing activities that pediatric nurses could perform in pediatricians' offices. METHODS An online survey with pediatricians working in primary care in Italy was conducted between April-December 2018. A 40-item questionnaire was used to assess four types of nursing activities: clinical care, healthcare education, disease prevention, and organizational activities. The answers ranged from 1 (not useful at all) to 6 (very useful). Moreover, three open-ended questions completed the questionnaire. RESULTS Overall, 707 pediatricians completed the online survey. Participants were mainly female (63%), with a mean age of 57.74 (SD = 6.42). The presence of a pediatric nurse within the pediatrician's office was considered very useful, especially for healthcare education (Mean 4.90; SD 1.12) and disease prevention (Mean 4.82; SD 1.11). Multivariate analysis confirmed that pediatricians 'with less working experience', 'having their office in a small town', and 'collaborating with a secretary and other workers in the office' rated the nurse's activities significantly more useful. CONCLUSIONS A pediatric nurse in the pediatrician's office can significantly contribute to many activities for children and their families in the community. These activities include clinical care, healthcare education, disease prevention, and the organizational processes of the office. Synergic professional activity between pediatricians and pediatric nurses could ensure higher health care standards in the primary care setting.
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Affiliation(s)
- Immacolata Dall'Oglio
- Health Professionals Development, Continuing Education and Research Service; Bambino Gesù Children's Hospital, IRCCS, Piazza Sant'Onofrio 4, 00165, Rome, Italy.
| | - Giovanni Vitali Rosati
- Italian Pediatric Society, Rome, Italy
- Italian Federation of Pediatric Physicians, Rome, Italy
| | - Valentina Biagioli
- Health Professionals Development, Continuing Education and Research Service; Bambino Gesù Children's Hospital, IRCCS, Piazza Sant'Onofrio 4, 00165, Rome, Italy
| | - Emanuela Tiozzo
- Health Professionals Development, Continuing Education and Research Service; Bambino Gesù Children's Hospital, IRCCS, Piazza Sant'Onofrio 4, 00165, Rome, Italy
| | - Orsola Gawronski
- Health Professionals Development, Continuing Education and Research Service; Bambino Gesù Children's Hospital, IRCCS, Piazza Sant'Onofrio 4, 00165, Rome, Italy
| | - Riccardo Ricci
- Health Professionals Development, Continuing Education and Research Service; Bambino Gesù Children's Hospital, IRCCS, Piazza Sant'Onofrio 4, 00165, Rome, Italy
| | - Antonio Garofalo
- Health Professionals Development, Continuing Education and Research Service; Bambino Gesù Children's Hospital, IRCCS, Piazza Sant'Onofrio 4, 00165, Rome, Italy
| | - Simone Piga
- Unit of Clinical Epidemiology, Bambino Gesù Children's Hospital, IRCCS, Piazza Sant'Onofrio 4, 00165, Rome, Italy
| | - Simone Gramaccioni
- Academic Department of Pediatrics, Bambino Gesù Children's Hospital, IRCCS, Piazza Sant'Onofrio 4, 00165, Rome, Italy
| | - Claudio Di Maria
- Academic Department of Pediatrics, Bambino Gesù Children's Hospital, IRCCS, Piazza Sant'Onofrio 4, 00165, Rome, Italy
| | - Valentina Vanzi
- Academic Department of Pediatrics, Bambino Gesù Children's Hospital, IRCCS, Piazza Sant'Onofrio 4, 00165, Rome, Italy
| | - Alessandra Querciati
- Academic Department of Pediatrics, Bambino Gesù Children's Hospital, IRCCS, Piazza Sant'Onofrio 4, 00165, Rome, Italy
| | - Rosaria Alvaro
- Department of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy
| | | | - Ersilia Buonomo
- Department of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy
| | - Mattia Doria
- Italian Federation of Pediatric Physicians, Rome, Italy
| | - Alberto Villani
- Italian Pediatric Society, Rome, Italy
- Pediatric Emergency Department and General Pediatrics, Bambino Gesù Children's Hospital, IRCCS, Piazza Sant'Onofrio 4, 00165, Rome, Italy
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Nigri P, Corsello G, Nigri L, Bali D, Kuli-Lito G, Plesca D, Pop TL, Carrasco-Sanz A, Namazova-Baranova L, Mestrovic J, Vural M, Giardino I, Losonczi L, Somekh E, Balducci MT, Pettoello-Mantovani M, Ferrara P. Prevention and contrast of child abuse and neglect in the practice of European paediatricians: a multi-national pilot study. Ital J Pediatr 2021; 47:105. [PMID: 33941234 PMCID: PMC8094489 DOI: 10.1186/s13052-021-01055-y] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/02/2021] [Accepted: 04/26/2021] [Indexed: 02/08/2023] Open
Abstract
Background Child abuse and neglect, or maltreatment, is a serious public health problem, which may cause long-term effects on children’s health and wellbeing and expose them to further adulthood vulnerabilities. Studies on child maltreatment performed in Europe are scarce, and the number of participants enrolled relatively small. The aim of this multi-national European pilot study, was to evaluate the level of understanding and perception of the concepts of child abuse and neglect by European paediatricians working in different medical settings, and the attitude toward these forms of maltreatment in their practice. Methods The study was performed by a cross-sectional, descriptive, online survey, made available online to European paediatricians members of 50 national paediatric, who belonged to four different medical settings: hospital, family care, university centres and private practice. The questionnaire, designed as a multiple choice questions survey, with a single answer option consisted of 22 questions/statements. Frequency analyses were applied. Most of the data were described using univariate analysis and Chi-squared tests were used to compare the respondents and answers and a significance level of p ≤ 0.05 applied. Results Findings show that European paediatricians consider the training on child maltreatment currently provided by medical school curricula and paediatric residency courses to be largely insufficient and continuing education courses were considered of great importance to cover educational gaps. Physical violence was recognized by paediatricians mostly during occasional visits with a significant correlation between detecting abuse during an occasional visit and being a primary care paediatrician. Results also showed a reluctance by paediatricians to report cases of maltreatment to the competent judicial authorities. Conclusions Data of this study may provide useful contribution to the current limited knowledge about the familiarity of European paediatricians with child maltreatment and their skills to recognize, manage and contrast abusive childhood experiences in their practice. Finally, they could provide local legislators and health authorities with information useful to further improve public health approaches and rules able to effectively address shared risk and protective factors, which could prevent child abuse and neglect from ever occurring.
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Affiliation(s)
- Paola Nigri
- Campus Bio-Medico University Medical School, Rome, Italy
| | - Giovanni Corsello
- Italian Society of Pediatrics, Rome, Italy.,Institute of Pediatrics, University of Palermo, Palermo, Italy
| | - Luigi Nigri
- Italian Federation of Pediatricians, Rome, Italy
| | | | | | - Doina Plesca
- Romanian Society of Paediatrics, Bucharest, Romania
| | | | | | | | | | | | - Ida Giardino
- Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy
| | - Laszlo Losonczi
- Association of Hungarian Primary Care Paediatrician, Budapest, Hungary
| | - Eli Somekh
- Department of Pediatrics, Mayanei Hayeshuah Medical Center, Bnei Brak, Israel
| | | | - Massimo Pettoello-Mantovani
- European Paediatric Association, Union of National European Pediatric Societies and Associations, Berlin, Germany.
| | - Pietro Ferrara
- Campus Bio-Medico University Medical School, Rome, Italy.,Italian Society of Pediatrics, Rome, Italy
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Aparicio Rodrigo M, Carrasco Sanz A, Sánchez Pina C, Villaizán Pérez C, Fernández Rodriguez M, Orejón de Luna G, Aizpurúa Galdeano P, Pettoello-Mantovani M. The Role of Pediatricians in Providing Greater-Quality Care for Children: An Ongoing Debate. J Pediatr 2021; 231:303-304.e1. [PMID: 33373669 DOI: 10.1016/j.jpeds.2020.12.065] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/22/2020] [Accepted: 12/22/2020] [Indexed: 10/22/2022]
Affiliation(s)
| | - Angel Carrasco Sanz
- European Confederation of Primary Care Pediatricians, Lyon, France; European Paediatric Association, Union of National European Pediatric Societies and Associations, Berlin, Germany
| | | | | | | | | | | | - Massimo Pettoello-Mantovani
- European Paediatric Association, Union of National European Pediatric Societies and Associations, Berlin, Germany; Department of Pediatrics, Scientific Institute "Casa Sollievo della Sofferenza", University of Foggia, Foggia, Italy.
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Versorgung von Diabetes mellitus im Kindes- und Jugendalter, heute und morgen: ein Blick auf Deutschland im Vergleich zu Belgien, Österreich und der Schweiz. Monatsschr Kinderheilkd 2020. [DOI: 10.1007/s00112-019-00836-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Biasci P, Sanz AC, Pop TL, Pettoello-Mantovani M, D'Avino A, Nigri L. The State of Children's Health in Europe. J Pediatr 2019; 209:260-261.e1. [PMID: 31128729 DOI: 10.1016/j.jpeds.2019.03.002] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/04/2019] [Accepted: 03/04/2019] [Indexed: 02/05/2023]
Affiliation(s)
- Paolo Biasci
- Italian Federation of Pediatricians, Rome, Italy
| | - Angel Carrasco Sanz
- European Confederation of Primary Care Paediatricians (EPCP), Lyon, France; Primary Care Health Centre Potosi, Madrid, Spain
| | - Tudor Lucian Pop
- 2nd Paediatric Clinic, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania; Romanian Society of Social Pediatrics, Cluj-Napoca, Romania; European Paediatric Association/Union of National European Paediatric Societies and Associations (EPA/UNEPSA), Berlin, Germany
| | - Massimo Pettoello-Mantovani
- European Paediatric Association/Union of National European Paediatric Societies and Associations (EPA/UNEPSA), Berlin, Germany; Department of Pediatrics, Scientific Institute "Casa Sollievo della Sofferenza", University of Foggia, Foggia, Italy.
| | | | - Luigi Nigri
- Italian Federation of Pediatricians, Rome, Italy; European Paediatric Association/Union of National European Paediatric Societies and Associations (EPA/UNEPSA), Berlin, Germany
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Gerber-Grote A, Namazova-Baranova L, Hoey H, Pettoello-Mantovani M, Vural M, Mestrovic J, Somekh E, Ehrich J. European Paediatric Association, the Union of National European Paediatric Societies and Associations Turns 40 Years: What This European Platform Offers to Pediatricians. J Pediatr 2017; 186:217-218.e2. [PMID: 28455117 DOI: 10.1016/j.jpeds.2017.03.060] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- Andreas Gerber-Grote
- School of Health Professions, Zurich University of Applied Sciences, Winterthur, Switzerland.
| | - Leyla Namazova-Baranova
- Federal State Budgetary Institution, "Scientific Centre of Children's Health," Moscow, Russia
| | - Hilary Hoey
- Royal College of Physicians of Ireland, The University of Dublin Trinity College, Dublin, Ireland
| | - Massimo Pettoello-Mantovani
- Department of Pediatrics, Scientific Institute "Casa Sollievo della Sofferenza," University of Foggia, Foggia, Italy
| | - Mehmet Vural
- Istanbul University Cerrahpaşa, Medical Faculty, Neonatology, University of Istanbul, Istanbul, Turkey
| | - Julije Mestrovic
- Medical School of Split, University Hospital of Split, Split, Croatia
| | - Eli Somekh
- Wolfson Medical Center, Holon Israel, The Sackler School of Medicine, Tel Aviv, Israel
| | - Jochen Ehrich
- Children's Hospital, Hannover Medical School, Hannover, Germany
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