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Aleo G, Pagnucci N, Walsh N, Watson R, Lang D, Kearns T, White M, Fitzgerald C. The effectiveness of continuing professional development for the residential long-term care workforce: A systematic review. Nurse Education Today 2024; 137:106161. [PMID: 38493589 DOI: 10.1016/j.nedt.2024.106161] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/14/2023] [Revised: 02/23/2024] [Accepted: 03/10/2024] [Indexed: 03/19/2024]
Abstract
OBJECTIVES To investigate the effectiveness of continuing professional development in residential long-term care. DESIGN Systematic review. DATA SOURCES PubMed, Cumulative Index to Nursing & Allied Health (CINAHL), and Web of Science. REVIEW METHODS Empirical studies published between 2003 and 2023 describing the effectiveness of continuing professional development in long-term care were selected according to PRISMA guidelines. The type, topic, and effectiveness of continuing professional development activities in long-term care were analysed, in addition to facilitators and barriers. The protocol of this review is registered in PROSPERO. RESULTS A total of 155 studies were selected, including over 17,000 participants the majority of whom were nurses. The most common topics were 'dementia care' (n = 22; 14.2 %), and restraint use (n = 14; 9 %). The impact of continuing professional development was mainly evaluated in terms of 'participant satisfaction with continuing professional development' (n = 5; 3 %), 'staff knowledge' (n = 57; 37 %), 'staff competencies and skills' (n = 35; 23 %), 'resident outcomes' (n = 45; 29 %), and 'staff wellbeing' (n = 12; 8 %). A total of 64 (41 %) studies evaluated if impact of continuing professional development was sustained over time. 'Good organisation', 'a supportive learning environment', 'expressing personal preferences', and 'management support' were described as facilitators of continuing professional development. CONCLUSIONS Increasing numbers of long-term care residents with complex health conditions require nurses with advanced skills, such as dementia care. To improve the effectiveness of continuing professional development, support from managers, who adopt relational leadership styles, is instrumental to integrate new knowledge and skills into practice. This needs to be linked to career progression, and consequently increase the attractiveness of working in the long-term care sector. This could meet the dual goal of improving outcomes for residents and nurses' job satisfaction.
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Affiliation(s)
- Giuseppe Aleo
- European Centre of Excellence for Research in Continuing Professional Development, Faculty of Nursing and Midwifery, Royal College of Surgeons in Ireland, 123 St. Stephen's Green, Dublin, Ireland.
| | - Nicola Pagnucci
- Department of Translational Research and New Surgical and Medical Technologies, University of Pisa, Via Savi 67, 56100 Pisa, Italy; European Centre of Excellence for Research in Continuing Professional Development, Faculty of Nursing and Midwifery, Royal College of Surgeons in Ireland, Dublin, Ireland.
| | - Niamh Walsh
- European Centre of Excellence for Research in Continuing Professional Development, Faculty of Nursing and Midwifery, Royal College of Surgeons in Ireland, 123 St. Stephen's Green, Dublin, Ireland.
| | | | - Deirdre Lang
- Office of the Nursing & Midwifery Service Director (ONMSD), Clinical Programme Implementation & Professional Development, Room 250, Dr Steeven's Hospital, Dublin 8, Ireland.
| | - Thomas Kearns
- European Centre of Excellence for Research in Continuing Professional Development, Faculty of Nursing and Midwifery, Royal College of Surgeons in Ireland, 123 St. Stephen's Green, Dublin, Ireland.
| | - Mark White
- European Centre of Excellence for Research in Continuing Professional Development, Faculty of Nursing and Midwifery, Royal College of Surgeons in Ireland, 123 St. Stephen's Green, Dublin, Ireland.
| | - Catherine Fitzgerald
- European Centre of Excellence for Research in Continuing Professional Development, Faculty of Nursing and Midwifery, Royal College of Surgeons in Ireland, Dublin, Ireland.
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Catania G, Zanini M, Cremona MA, Landa P, Musio ME, Watson R, Aleo G, Aiken LH, Sasso L, Bagnasco A. Nurses' intention to leave, nurse workload and in-hospital patient mortality in Italy: A descriptive and regression study. Health Policy 2024; 143:105032. [PMID: 38460274 DOI: 10.1016/j.healthpol.2024.105032] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2023] [Revised: 02/19/2024] [Accepted: 02/26/2024] [Indexed: 03/11/2024]
Abstract
Higher nurse-to-patient ratios are associated with poor patient care and adverse nurse outcomes, including emotional exhaustion and intention to leave. We examined the effect of nurses' intention to leave and nurse-patient workload on in-hospital patient mortality in Italy. A multicentered descriptive and regression study using clinical data of patients aged 50 years or older with a hospital stay of at least two days admitted to surgical wards linked with nurse variables including workload and education levels, work environment, job satisfaction, intention to leave, nurses' perception of quality and safety of care, and emotional exhaustion. The final dataset included 15 hospitals, 1046 nurses, and 37,494 patients. A 10 % increase in intention to leave and an increase of one unit in nurse-patient workload increased likelihood of inpatient hospital mortality by 14 % (odds ratio 1.14; 1.02-1.27 95 % CI) and 3.4 % (odds ratio 1.03; 1.00-1.06 95 % CI), respectively. No other studies have reported a significant association between intention to leave and patient mortality. To improve patient outcomes, the healthcare system in Italy needs to implement policies on safe human resources policy stewardship, leadership, and governance to ensure nurse wellbeing, higher levels of safety, and quality nursing care.
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Affiliation(s)
- Gianluca Catania
- Department of Health Sciences, University of Genoa, Via A. Pastore 1 16132, Genoa, Italy
| | - Milko Zanini
- Department of Health Sciences, University of Genoa, Via A. Pastore 1 16132, Genoa, Italy.
| | - Marzia A Cremona
- Department of Operations and Decision Systems, Université Laval Research Center, CHU de Québec Quebec G1V 4G2, Canada
| | - Paolo Landa
- Department of Operations and Decision Systems, Université Laval Research Center, CHU de Québec Quebec G1V 4G2, Canada
| | - Maria Emma Musio
- Department of Health Sciences, University of Genoa, Via A. Pastore 1 16132, Genoa, Italy
| | - Roger Watson
- Academic Dean, Southwest Medical University, Luzhou, PR China
| | - Giuseppe Aleo
- Department of Health Sciences, University of Genoa, Via A. Pastore 1 16132, Genoa, Italy
| | - Linda H Aiken
- Center for Health Outcomes and Policy Research, University of Pennsylvania, 418 Curie Blvd, Philadelphia PA 19104, USA
| | - Loredana Sasso
- Department of Health Sciences, University of Genoa, Via A. Pastore 1 16132, Genoa, Italy
| | - Annamaria Bagnasco
- Department of Health Sciences, University of Genoa, Via A. Pastore 1 16132, Genoa, Italy
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Calzolari M, Napolitano F, Zanini M, Catania G, Aleo G, Hayter M, Sasso L, Bagnasco A. The Need for a School Nursing Service in Italy: Time to act. J Sch Nurs 2024; 40:3-4. [PMID: 37964552 DOI: 10.1177/10598405231213961] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2023] Open
Affiliation(s)
| | | | - Milko Zanini
- Department of Health Sciences, University of Genoa, Genoa, Italy
| | - Gianluca Catania
- Department of Health Sciences, University of Genoa, Genoa, Italy
| | - Giuseppe Aleo
- Department of Health Sciences, University of Genoa, Genoa, Italy
- Faculty of Nursing and Midwifery, Royal College of Surgeons in Ireland, Dublin, Ireland
| | - Mark Hayter
- Faculty of Health and Education, Manchester Metropolitan University, Manchester, UK
| | - Loredana Sasso
- Department of Health Sciences, University of Genoa, Genoa, Italy
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Bagnasco A, Timmins F, Moro A, Barbieri M, Napolitano F, Aleo G, Catania G, Zanini M, Sasso L. The organization of nursing work in Italian hospitals-implications for job satisfaction, nurse well-being and patient safety. J Adv Nurs 2024; 80:405-406. [PMID: 37403700 DOI: 10.1111/jan.15778] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2023] [Accepted: 06/25/2023] [Indexed: 07/06/2023]
Affiliation(s)
| | - Fiona Timmins
- UCD School of Nursing, Midwifery and Health Systems, UCD College of Health Sciences, Belfield, Ireland
| | - Andrea Moro
- Department of Health Sciences, University of Genoa, Genoa, Italy
| | - Martina Barbieri
- Department of Health Sciences, University of Genoa, Genoa, Italy
| | | | - Giuseppe Aleo
- Department of Health Sciences, University of Genoa, Genoa, Italy
- European Centre of Excellence for Research in Continuing Professional Development, Faculty of Nursing and Midwifery, Royal College of Surgeons in Ireland, Dublin, Ireland
| | - Gianluca Catania
- Department of Health Sciences, University of Genoa, Genoa, Italy
| | - Milko Zanini
- Department of Health Sciences, University of Genoa, Genoa, Italy
| | - Loredana Sasso
- Department of Health Sciences, University of Genoa, Genoa, Italy
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Dasso N, Catania G, Zanini M, Rossi S, Aleo G, Signori A, Scelsi S, Petralia P, Watson R, Hayter M, Sasso L, Bagnasco A. Informal carers' experiences with their children's care during hospitalization in Italy: Child HCAHPS results from RN4CAST@IT-Ped cross-sectional study. J Pediatr Nurs 2024; 74:10-16. [PMID: 37980795 DOI: 10.1016/j.pedn.2023.11.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/13/2022] [Revised: 11/01/2023] [Accepted: 11/04/2023] [Indexed: 11/21/2023]
Abstract
PURPOSE To examine informal carers' experiences during their child's hospitalization and evaluate the associations with care received and care context. DESIGN AND METHODS What is described in this article is only a part of the larger study, RN4CAST@IT-Ped, a multicenter cross-sectional study, with multi-level data collection through convenience sampling, the Child Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey was used to collect data from informal carers of pediatric patients, applying the "top box" approach. RESULTS Nine hospitals, 1472 nurses, and 635 children's parents were involved. A correlation was found between patient safety and satisfaction outcomes and nursing staff characteristics. Adequate workloads for nurses improved carers' assessment of their experience in the hospital. CONCLUSION Adequate staffing management could significantly improve informal carers' satisfaction with the care provided to their children during hospitalization. PRACTICE IMPLICATIONS Children's informal carers greatly value the care they receive in pediatric hospitals. Adequate workloads for nurses improve carers' overall evaluation of the care their children receive during hospitalization. Nursing management should consider improving these aspects to ensure high-quality care in children's hospitals.
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Affiliation(s)
- Nicoletta Dasso
- Health Professional Direction, IRCCS Istituto Giannina Gaslini, Via Gerolamo Gaslini 5, 16147 Genoa, Italy.
| | - Gianluca Catania
- Department of Health Sciences, University of Genoa, Via Pastore, 1, 16132 Genoa, Italy.
| | - Milko Zanini
- Department of Health Sciences, University of Genoa, Via Pastore, 1, 16132 Genoa, Italy.
| | - Silvia Rossi
- Health Professional Direction, IRCCS Istituto Giannina Gaslini, Via Gerolamo Gaslini 5, 16147 Genoa, Italy.
| | - Giuseppe Aleo
- Department of Health Sciences, University of Genoa, Via A. Pastore, 1, 16132 Genoa, Italy; Faculty of Nursing and Midwifery, Royal College of Surgeons in Ireland, 123 St. Stephen's Green, Dublin, Ireland..
| | - Alessio Signori
- Department of Health Sciences, Biostatistics, Via A. Pastore 1, I-16132 Genoa, Italy.
| | - Silvia Scelsi
- Health Professional Direction, IRCCS Istituto Giannina Gaslini, Via Gerolamo Gaslini 5, 16147 Genoa, Italy.
| | - Paolo Petralia
- Italian Association of Paediatric Hospitals (AOPI), General Director, ASL 4 S.S.R. Ligure, Via G. Gaslini 5, 16147 Genoa, Italy
| | | | - Mark Hayter
- Faculty of Health and Education, Manchester Metropolitan University, Manchester, United Kingdom.
| | - Loredana Sasso
- Department of Health Sciences, University of Genoa, Via Pastore, 1, 16132 Genoa, Italy.
| | - Annamaria Bagnasco
- Department of Health Sciences, University of Genoa, Via Pastore, 1, 16132 Genoa, Italy.
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Timmins F, Catania G, Zanini M, Ottonello G, Napolitano F, Musio ME, Aleo G, Sasso L, Bagnasco A. Promoting holistic approaches to management of violence in the ED-a response to Ramacciati (2023). J Clin Nurs 2023; 32:6771-6772. [PMID: 37661313 DOI: 10.1111/jocn.16847] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2023] [Accepted: 08/02/2023] [Indexed: 09/05/2023]
Affiliation(s)
- Fiona Timmins
- School of Nursing, Midwifery & Health Systems, University College Dublin, Dublin 4, Ireland
| | - Gianluca Catania
- Department of Health Sciences, University of Genoa, Genoa, Italy
| | - Milko Zanini
- Department of Health Sciences, University of Genoa, Genoa, Italy
| | - Giulia Ottonello
- Department of Health Sciences, University of Genoa, Genoa, Italy
| | | | - Maria Emma Musio
- Department of Health Sciences, University of Genoa, Genoa, Italy
| | - Giuseppe Aleo
- Department of Health Sciences, University of Genoa, Genoa, Italy
| | - Loredana Sasso
- Department of Health Sciences, University of Genoa, Genoa, Italy
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Steven A, Rossi S, Dasso N, Napolitano F, Grosso A, Villa S, Aleo G, Catania G, Sasso L, Zanini M, Bagnasco A. Corrigendum to "A qualitative exploration of undergraduate nursing students' experience of emotional safety for learning during their clinical practice" [Nurse Educ. Today. 121 2023, 105,673]. Nurse Educ Today 2023; 129:105783. [PMID: 36933952 DOI: 10.1016/j.nedt.2023.105783] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/18/2023]
Affiliation(s)
- A Steven
- Department of Nursing, Midwifery and Health, Faculty of Health and Life sciences, Coach Lane Campus West, Northumbria University, Newcastle upon Tyne NE7 7XA, UK.
| | - S Rossi
- IRCCS Istituto Giannina Gaslini, Via Gerolamo Gaslini, 5, 16147 Genova, GE, Italy
| | - N Dasso
- IRCCS Istituto Giannina Gaslini, Via Gerolamo Gaslini, 5, 16147 Genova, GE, Italy
| | - F Napolitano
- Department of Health Sciences, University of Genoa, Via A. Pastore, 1, 16132 Genoa, Italy.
| | - A Grosso
- Accident & Emergency Department, Evangelic International Hospital, Piazzale Efisio Gianasso, 4, 16158 Genoa, Italy
| | - S Villa
- Anaesthesia and Intensive Care Unit, IRCCS Teaching Hospital San Martino Policlinic, Largo R. Benzi, 10, 16132 Genoa, Italy
| | - G Aleo
- Department of Health Sciences, University of Genoa, Via A. Pastore, 1, 16132 Genoa, Italy; Faculty of Nursing & Midwifery, Royal College of Surgeons in Ireland, 123 St Stephen's Green, Dublin, Ireland.
| | - G Catania
- Department of Health Sciences, University of Genoa, Via A. Pastore, 1, 16132 Genoa, Italy.
| | - L Sasso
- Department of Health Sciences, University of Genoa, Via A. Pastore, 1, 16132 Genoa, Italy.
| | - M Zanini
- Department of Health Sciences, University of Genoa, Via A. Pastore, 1, 16132 Genoa, Italy.
| | - A Bagnasco
- Department of Health Sciences, University of Genoa, Via A. Pastore, 1, 16132 Genoa, Italy.
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Fitzgerald C, Pagnucci N, Kearns T, Hallissy M, Walsh N, Kelly C, Killeen C, White M, Aleo G. The experience and attitudes of long-term care workers with teaching and learning modalities for the delivery of continuing professional development activities: a mixed-methods study. Nurse Educ Pract 2023; 72:103774. [PMID: 37677990 DOI: 10.1016/j.nepr.2023.103774] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2023] [Revised: 08/19/2023] [Accepted: 08/25/2023] [Indexed: 09/09/2023]
Abstract
AIM to develop a better understanding of the attitudes and experiences of healthcare workers and managers with face-to-face, online asynchronous (pre-recorded), and online synchronous (live) modalities for Continuing Professional Development (CPD) working in the Long-Term Care (LTC) sector. BACKGROUND The recent global pandemic significantly interrupted the delivery and organisation of education and training for healthcare professionals internationally. As a result of the restrictions, healthcare professionals' access to CPD was limited, consequentially education and training activities were mostly delivered online. Research into the experiences of healthcare workers with the various teaching and learning modalities in the LTC setting is limited. DESIGN An explanatory mixed methods study using an exploratory sequential design. METHODS A two-phase study conducted from January 2022 to September 2022, in the Republic of Ireland. In phase one, researchers conducted four focus groups and in phase two 168 participants completed a survey to explore the results of phase one. RESULTS From the focus groups interviews five themes emerged regarding participants' experiences, attitudes and preferences with the three modalities of CPD education and training in the field of LTC: 1) Flexibility, 2) Networking, 3) Resources and Support, 4) Engaging and meaningful learning, and 5) Balancing online and face-to-face learning through Blended Learning. Results from the survey found the preferred modality was face to face (n = 54, 32.1%), followed very closely by blended learning (n = 51, 30.4%). Most of the respondents reported that synchronous online CPD education was convenient, flexible, offers the opportunity to interact with peers, and that its quality depends on educators' skills. The majority of respondents (n = 155, 92.3%) declared that they would require support in the workplace to implement their new knowledge and skills. CONCLUSIONS This study revealed the significance participants place on 'engagement' when taking part in education and training. Engagement was described as a key factor to improve the delivery of CPD in the LTC setting. In addition, regardless of the mode of delivery, participants reported that they need to be supported in the workplace to implement their new knowledge and skills. This requires the support and endorsement of employers and managers, who could ensure more protected time for learning, technical support and championing facilitators and mentors in the workplace to enhance the translation of new knowledge into clinical practice. TWEETABLE ABSTRACT In LTC settings, face-to-face CPD is the preferred mode of delivery. Although synchronous online CPD is very convenient, educators must be able to engage learners. LTC workers need support by managers to implement their new knowledge and skills in their workplace.
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Affiliation(s)
- Catherine Fitzgerald
- European Centre of Excellence for Research in Continuing Professional Development, Faculty of Nursing and Midwifery, Royal College of Surgeons in Ireland, Dublin, Ireland; Faculty of Nursing and Midwifery, Royal College of Surgeons in Ireland, 123 St. Stephen's Green, Dublin, Ireland.
| | - Nicola Pagnucci
- European Centre of Excellence for Research in Continuing Professional Development, Faculty of Nursing and Midwifery, Royal College of Surgeons in Ireland, Dublin, Ireland; Faculty of Nursing and Midwifery, Royal College of Surgeons in Ireland, 123 St. Stephen's Green, Dublin, Ireland.
| | - Thomas Kearns
- European Centre of Excellence for Research in Continuing Professional Development, Faculty of Nursing and Midwifery, Royal College of Surgeons in Ireland, Dublin, Ireland; Faculty of Nursing and Midwifery, Royal College of Surgeons in Ireland, 123 St. Stephen's Green, Dublin, Ireland.
| | - Michael Hallissy
- H2 Learning, The Digital Hub, 10-13 Thomas Street, Dublin, Ireland.
| | - Niamh Walsh
- European Centre of Excellence for Research in Continuing Professional Development, Faculty of Nursing and Midwifery, Royal College of Surgeons in Ireland, Dublin, Ireland; Faculty of Nursing and Midwifery, Royal College of Surgeons in Ireland, 123 St. Stephen's Green, Dublin, Ireland.
| | - Carmel Kelly
- Leading Healthcare Providers Skillnet, 2A Convent Road, Dun Laoghaire, Co., Dublin, Ireland.
| | - Clodagh Killeen
- Leading Healthcare Providers Skillnet, 2A Convent Road, Dun Laoghaire, Co., Dublin, Ireland.
| | - Mark White
- Faculty of Nursing and Midwifery, Royal College of Surgeons in Ireland, 123 St. Stephen's Green, Dublin, Ireland.
| | - Giuseppe Aleo
- European Centre of Excellence for Research in Continuing Professional Development, Faculty of Nursing and Midwifery, Royal College of Surgeons in Ireland, Dublin, Ireland; Faculty of Nursing and Midwifery, Royal College of Surgeons in Ireland, 123 St. Stephen's Green, Dublin, Ireland.
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Napolitano F, Calzolari M, Pagnucci N, Zanini M, Catania G, Aleo G, Gomes L, Sasso L, Bagnasco A. The effectiveness of learning strategies for the development of Emotional Intelligence in undergraduate nursing students: A systematic review protocol. Nurse Educ Pract 2023; 72:103797. [PMID: 37832374 DOI: 10.1016/j.nepr.2023.103797] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2023] [Revised: 09/27/2023] [Accepted: 09/29/2023] [Indexed: 10/15/2023]
Abstract
AIM This protocol proposes a systematic review to identify and disclose learning strategies and evaluation tools to improve Emotion Intelligence (EI) in undergraduate nursing students. BACKGROUND EI improves the ability to manage emotions and their consequences. Management of emotions is fundamental in nursing both at inter- and intra-professional levels, and with the patients and their family carers. DESIGN Systematic review protocol of effectiveness based on the Joanna Briggs Institute (JBI) guidelines. REVIEW METHODS All articles based on educational programmes and/or activities to develop EI in nursing curricula will be included in the review. It will analyse the principle EI attributes and outcomes such as burnout, intention to leave and problem-solving skills. Based on the review question, seven databases will be searched: MEDLINE, The Cochrane Library, SCOPUS, CINAHL, EMBASE, PsycINFO and ERIC. Also, grey literature (Google Scholar and Open Gray) will be searched. Since no similar systematic reviews are present in the literature, no time limits will be set. To establish the quality of studies JBI tools will be used. When appropriate, we will meta-analyse prevalence and incidence estimates or we will meta-synthesize themes and findings. EXPECTED RESULTS This systematic review is expected to provide an overview of educational and training methods, pedagogical strategies and evaluation tools to address EI in nursing and provide high-quality care to patients and their families. Results of the review will support nursing educators and leaders in implementing teaching and learning strategies to improve the Emotional Intelligence of undergraduate nursing students. CONCLUSIONS Mastering emotions is fundamental for nurses. Implementing education courses based on EI according to the best training methods and pedagogical strategies could become key for nursing curricula. Moreover, after the review, it will be possible to identify the best training methods and pedagogical strategies for implementing continuing professional development (CPD) courses in EI in the courses of following graduation.
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Affiliation(s)
- Francesca Napolitano
- Department of Health Sciences, University of Genoa, Via A. Pastore 1, Genoa 16132, Italy
| | - Michela Calzolari
- Department of Health Sciences, University of Genoa, Via A. Pastore 1, Genoa 16132, Italy
| | - Nicola Pagnucci
- Department of Health Sciences, University of Genoa, Via A. Pastore 1, Genoa 16132, Italy
| | - Milko Zanini
- Department of Health Sciences, University of Genoa, Via A. Pastore 1, Genoa 16132, Italy.
| | - Gianluca Catania
- Department of Health Sciences, University of Genoa, Via A. Pastore 1, Genoa 16132, Italy
| | - Giuseppe Aleo
- Department of Health Sciences, University of Genoa, Via A. Pastore 1, Genoa 16132, Italy; Faculty of Nursing and Midwifery, Royal College of Surgeons in Ireland, 123 St. Stephen's Green, Dublin, Ireland
| | - Lisa Gomes
- Nursing School, Minho University, Campus de Gualtar, Edifício BGUM 2º Piso, Braga 4710-057, Portugal
| | - Loredana Sasso
- Department of Health Sciences, University of Genoa, Via A. Pastore 1, Genoa 16132, Italy
| | - Annamaria Bagnasco
- Department of Health Sciences, University of Genoa, Via A. Pastore 1, Genoa 16132, Italy
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Pagnucci N, Aleo G, Orlik W, Mahon P, Kearns T, Kelly C, Lordan T, Fitzgerald C. Teaching and learning modalities for continuing professional development in the long-term care: A rapid synthesis review. Nurse Educ Pract 2023; 70:103638. [PMID: 37104926 DOI: 10.1016/j.nepr.2023.103638] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2022] [Revised: 03/07/2023] [Accepted: 03/28/2023] [Indexed: 04/29/2023]
Abstract
AIM To describe the various teaching and learning modalities for the delivery of Continuing Professional Development activities for health care professionals in the long-term care sector. BACKGROUND Continuing Professional Development is a key activity that organisations undertake to achieve effective workforce planning, recruitment, retention and upskilling strategies in long-term care settings. During the Covid-19 pandemic there was a rapid move to online modalities of Continuous Professional Development, but there is a paucity of evidence in relation to their effectiveness compared with face-to-face, or in-class learning. DESIGN A rapid synthesis review. METHODS MEDLINE, CINAHL and HEALTH BUSINESS ELITE databases were used to identify relevant articles that were published between 2016 and 2022. Original studies of any design investigating Continuing Professional Development activities, with or without a comparison between interventions or activities were included. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) was followed. The Kirkpatrick model was adopted as a globally recognised method for evaluating training programmes. RESULTS After a full text analysis, 34 papers were included in the review. Face to face was the most common method of delivery followed by online, while blended (a mix of face-to-face and online delivery) was the least common method used. The teaching modalities were not associated with specific learning contents, but were used for a range of content. Most studies obtained positive outcomes following implementation of the educational interventions. Kirkpatrick Level 4 (results) was the most commonly measured outcome. CONCLUSIONS While blended learning was the least common method of delivery, it was found to be more beneficial for learners than face-to-face or online exclusively. There are now new spaces to learn and new technologies that allow us to 'reimagine' where, when and how we teach. This requires Continuing Professional Development providers to design and tailor their courses according to health professionals' learning needs and the clinical contexts where they work. We recommend that Continuing Professional Development providers involve employers when designing teaching and learning activities for Long Term Care workers, to decide which modalities enable effective knowledge translation.
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Affiliation(s)
- Nicola Pagnucci
- Department of Health Sciences, University of Genoa, Via A. Pastore 1, 16132 Genoa, Italy; European Centre of Excellence for Research in Continuing Professional Development, Faculty of Nursing and Midwifery, Royal College of Surgeons in Ireland, 123 St.Stephen's Green, Dublin, Ireland
| | - Giuseppe Aleo
- European Centre of Excellence for Research in Continuing Professional Development, Faculty of Nursing and Midwifery, Royal College of Surgeons in Ireland, 123 St.Stephen's Green, Dublin, Ireland; Faculty of Nursing and Midwifery, Royal College of Surgeons in Ireland, 123 St.Stephen's Green, Dublin, Ireland
| | - Witold Orlik
- European Centre of Excellence for Research in Continuing Professional Development, Faculty of Nursing and Midwifery, Royal College of Surgeons in Ireland, 123 St.Stephen's Green, Dublin, Ireland; Faculty of Nursing and Midwifery, Royal College of Surgeons in Ireland, 123 St.Stephen's Green, Dublin, Ireland
| | - Paul Mahon
- Faculty of Nursing and Midwifery, Royal College of Surgeons in Ireland, 123 St.Stephen's Green, Dublin, Ireland; Centre for Nursing and Midwifery Advancement, Faculty of Nursing and Midwifery, Royal College of Surgeons in Ireland, 123 St. Stephen's Green, Dublin, Ireland
| | - Thomas Kearns
- Faculty of Nursing and Midwifery, Royal College of Surgeons in Ireland, 123 St.Stephen's Green, Dublin, Ireland; Centre for Nursing and Midwifery Advancement, Faculty of Nursing and Midwifery, Royal College of Surgeons in Ireland, 123 St. Stephen's Green, Dublin, Ireland
| | - Carmel Kelly
- Leading Healthcare Providers Skillnet, 2A Convent Road, Dun Laoghaire, Co. Dublin A96 W7C5, Ireland
| | - Thomas Lordan
- Leading Healthcare Providers Skillnet, 2A Convent Road, Dun Laoghaire, Co. Dublin A96 W7C5, Ireland
| | - Catherine Fitzgerald
- European Centre of Excellence for Research in Continuing Professional Development, Faculty of Nursing and Midwifery, Royal College of Surgeons in Ireland, 123 St.Stephen's Green, Dublin, Ireland; Faculty of Nursing and Midwifery, Royal College of Surgeons in Ireland, 123 St.Stephen's Green, Dublin, Ireland.
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11
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Timmins F, Ottonello G, Napolitano F, Musio ME, Calzolari M, Gammone M, Catania G, Zanini M, Aleo G, Sasso L, Bagnasco A. The state of the science-the impact of declining response rates by nurses in nursing research projects. J Clin Nurs 2023; 32:e9-e11. [PMID: 36460485 DOI: 10.1111/jocn.16597] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2022] [Accepted: 11/25/2022] [Indexed: 12/04/2022]
Affiliation(s)
- Fiona Timmins
- Dean and Head of School, UCD School of Nursing, Midwifery and Health Systems, UCD College of Health Sciences, Belfield, Ireland
| | - Giulia Ottonello
- Department of Health Sciences, University of Genoa, Genoa, Italy
| | | | - Maria Emma Musio
- Department of Health Sciences, University of Genoa, Genoa, Italy
| | | | - Mariarosaria Gammone
- Department of Health Sciences, University of Genoa, Genoa, Italy.,S.I.T.R.A, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy
| | - Gianluca Catania
- Department of Health Sciences, University of Genoa, Genoa, Italy
| | - Milko Zanini
- Department of Health Sciences, University of Genoa, Genoa, Italy
| | - Giuseppe Aleo
- Department of Health Sciences, University of Genoa, Genoa, Italy.,Faculty of Nursing and Midwifery, Royal College of Surgeons in Ireland, Dublin, Ireland
| | - Loredana Sasso
- Department of Health Sciences, University of Genoa, Genoa, Italy
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12
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Timmins F, Catania G, Zanini M, Ottonello G, Napolitano F, Musio ME, Aleo G, Sasso L, Bagnasco A. Nursing management of emergency department violence-Can we do more? J Clin Nurs 2023; 32:1487-1494. [PMID: 35102617 DOI: 10.1111/jocn.16211] [Citation(s) in RCA: 10] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2021] [Revised: 01/04/2022] [Accepted: 01/07/2022] [Indexed: 02/03/2023]
Abstract
BACKGROUND Emergency departments are the services with the highest risk of violence for nurses. Reports of violence in health care have increased exponentially in the last decade. Front line hospital services are more at risk, and worldwide there are attempts to quantify, manage and prevent episodes of violence, but no consistent solutions have yet been identified. AIMS To stimulate reflection on causal factors of violence against nurses in emergency departments and discuss potential solutions and strategies for aspects that largely remain unresolved. DESIGN A position paper underpinned by experiences and evidence reported in the literature. METHODS A search of Scopus and CINAHL using the term 'violence' provided information concerning the prevalence of the term 'violence' in contemporary literature and enabled to capture a general overview of contributing factors of violence and current approaches to its management and prevention. CONCLUSIONS However, while risk factors have been identified, there is a tendency to over accentuate the extent of their contribution. The main risk factors present conditions related to or accompanied by mental illness and the impact of overcrowding and long waiting times. RELEVANCE TO CLINICAL PRACTICE More is needed in terms of implementation of more far-reaching, holistic, practical and effective management solutions to promote nurses' safety and adequately support vulnerable patients.
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Affiliation(s)
- Fiona Timmins
- School of Nursing, Midwifery & Health Systems, University College Dublin, Dublin 4, Ireland
| | - Gianluca Catania
- Department of Health Sciences, University of Genoa, Genoa, Italy
| | - Milko Zanini
- Department of Health Sciences, University of Genoa, Genoa, Italy
| | - Giulia Ottonello
- Department of Health Sciences, University of Genoa, Genoa, Italy
| | | | - Maria Emma Musio
- Department of Health Sciences, University of Genoa, Genoa, Italy
| | - Giuseppe Aleo
- Department of Health Sciences, University of Genoa, Genoa, Italy
| | - Loredana Sasso
- Department of Health Sciences, University of Genoa, Genoa, Italy
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13
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Steven A, Rossi S, Dasso N, Napolitano F, Grosso A, Villa S, Aleo G, Catania G, Sasso L, Zanini M, Bagnasco A. A qualitative exploration of undergraduate nursing students' experience of emotional safety for learning during their clinical practice. Nurse Educ Today 2023; 121:105673. [PMID: 36470040 DOI: 10.1016/j.nedt.2022.105673] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/03/2022] [Revised: 11/22/2022] [Accepted: 11/27/2022] [Indexed: 06/17/2023]
Abstract
BACKGROUND During their clinical practice, nursing students learn to manage patient safety through their experiences, emotions, and interpersonal relationships. OBJECTIVES To explore contextual and mechanistic factors that facilitate a sense of emotional safety for learning in nursing students, particularly regarding patient safety events experienced during their placements. DESIGN A descriptive qualitative study using narratives and thematic analysis. SETTINGS A university in Northern Italy. PARTICIPANTS Undergraduate nursing students recruited through purposive sampling. METHODS Twenty cases relevant to the present study were selected from the "Sharing LearnIng from Practice for Patient Safety" (SLIPPS) project database containing 100 narratives collected using the patient safety learning Event Recording Tool. The data were analysed using thematic analysis according to Braun & Clarke's methodology. The themes that emerged from the thematic analysis were rearranged in Context-Mechanism-Outcomes. RESULTS Students identified clinical practice experiences as important occasions for their personal and professional development. Emotional safety and tutoring were the elements that effectively "govern" the students' learning and development process. CONCLUSIONS Emotional safety is key for nursing students because it enables them to constructively overcome any relational and emotional tensions that may develop during their clinical placements.
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Affiliation(s)
- Alison Steven
- Department of Nursing, Midwifery and Health, Faculty of Health and Life sciences, Coach Lane Campus West, Northumbria University, Newcastle upon Tyne, NE7 7XA, UK.
| | - Silvia Rossi
- Gaslini Children's Hospital, Via G. Gaslini 5, 16147 Genoa, Italy
| | - Nicoletta Dasso
- Gaslini Children's Hospital, Via G. Gaslini 5, 16147 Genoa, Italy
| | - Francesca Napolitano
- Department of Health Sciences, University of Genoa, Via A. Pastore, 1, 16132 Genoa, Italy.
| | - Alessandro Grosso
- Accident & Emergency Department, Evangelic International Hospital, Piazzale Efisio Gianasso, 4, 16158 Genoa, Italy
| | - Silvia Villa
- Anaesthesia and Intensive Care Unit, IRCCS Teaching Hospital San Martino Policlinic, Largo R. Benzi, 10, 16132 Genoa, Italy
| | - Giuseppe Aleo
- Department of Health Sciences, University of Genoa, Via A. Pastore, 1, 16132 Genoa, Italy; Faculty of Nursing & Midwifery, Royal College of Surgeons in Ireland, 123 St Stephen's Green, Dublin, Ireland.
| | - Gianluca Catania
- Department of Health Sciences, University of Genoa, Via A. Pastore, 1, 16132 Genoa, Italy.
| | - Loredana Sasso
- Department of Health Sciences, University of Genoa, Via A. Pastore, 1, 16132 Genoa, Italy.
| | - Milko Zanini
- Department of Health Sciences, University of Genoa, Via A. Pastore, 1, 16132 Genoa, Italy.
| | - Annamaria Bagnasco
- Accident & Emergency Department, Evangelic International Hospital, Piazzale Efisio Gianasso, 4, 16158 Genoa, Italy.
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14
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Fitzgerald C, Aleo G, Affonso D, Orlik W, Grech P, García-Vivar C, Kilkku N, Wray J, Culhane A, Balogh Z, Lillo-Crespo M, Harrison N, Gazić M, Kearns T. Development of a European Centre of Excellence (Coe) for Research in Continuing Professional Development (UPGRADE). J CME 2023; 12:2160092. [PMID: 36969484 PMCID: PMC10031800 DOI: 10.1080/28338073.2022.2160092] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/28/2022] [Revised: 12/12/2022] [Accepted: 12/14/2022] [Indexed: 06/18/2023]
Abstract
The European Centre of Excellence (CoE) for Research in Continuing Professional Development (UPGRADE) is a pan-European network of researchers, clinicians, regulators, educators, and professional bodies, established in 2020 through a consensus group of experts, who defined its mission, vision, values, aims and objectives. The Centre's aim is to advance the science of Continuing Professional Development (CPD) for healthcare professionals through research and dissemination of best practices for CPD. Debate among UPGRADE partners and interchange of research data will yield best practices across countries to optimise quality CPD programmes. Collaboration, information exchange and communication among CPD experts will be facilitated through UPGRADE via an online Community of Inquiry (CoI). UPGRADE aims to evolve as a driving force network of academics and health professional leaders in research, education, professional regulation, and clinical practice whose collaborative work ensures quality and safe person-centred care. UPGRADE members are from 22 European countries, represented by strategic leaders in diverse sectors of health, policy, academia, and professional organisations. Three research-working groups constitute the pillars of UPGRADE, which addresses gaps in research, collect and create critical databases, and solidify the effectiveness of CPD.
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Affiliation(s)
- Catherine Fitzgerald
- European Centre of Excellence for Research in Continuing Professional Development, Faculty of Nursing and Midwifery, Royal College of Surgeons in Ireland, Dublin, Ireland
| | - Giuseppe Aleo
- European Centre of Excellence for Research in Continuing Professional Development, Faculty of Nursing and Midwifery, Royal College of Surgeons in Ireland, Dublin, Ireland
| | - Dyanne Affonso
- European Centre of Excellence for Research in Continuing Professional Development, Faculty of Nursing and Midwifery, Royal College of Surgeons in Ireland, Dublin, Ireland
| | - Witold Orlik
- European Centre of Excellence for Research in Continuing Professional Development, Faculty of Nursing and Midwifery, Royal College of Surgeons in Ireland, Dublin, Ireland
| | - Paulann Grech
- Department of Mental Health, University of Malta, MaltaMalta
| | | | - Nina Kilkku
- School of Social Services and Health Care, Tampere University of Applied Sciences, Tampere, Finland
| | - Jane Wray
- Faculty of Health Sciences, University of Hull, Hull, UK
| | - Aisling Culhane
- Department of Research and Policy Psychiatric Nurses’ Association Ireland, Station House The Waterways Sallins, Co Kildare, Ireland
| | - Zoltán Balogh
- College Professor Head of Nursing Department, Vice Dean for Clinical Relations, Faculty of Health Sciences, Semmelweis University, Budapest, Hungary
| | | | - Nigel Harrison
- Pro Vice Chancellor & Dean, Faculty of Health, Education, Medicine and Social Care, Anglia Ruskin University, Cambridge, UK
| | - Mario Gazić
- President of Croatian Nursing Council, University of North, Zagreb, Croatia
| | - Thomas Kearns
- European Centre of Excellence for Research in Continuing Professional Development, Faculty of Nursing and Midwifery, Royal College of Surgeons in Ireland, Dublin, Ireland
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Wray J, Calzolari M, Gammone M, Aleo G, Catania G, Zanini M, Sasso L, Bagnasco A. The potential benefits of legacy mentoring for newly qualified nurses. Nurse Educ Pract 2023; 66:103511. [PMID: 36434921 DOI: 10.1016/j.nepr.2022.103511] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Affiliation(s)
- Jane Wray
- Faculty of Health Sciences, University of Hull, Hull HU6 7RX, UK.
| | - Michela Calzolari
- Department of Health Sciences, University of Genoa, Via A. Pastore 1, 16132 Genoa, Italy.
| | - Mariarosaria Gammone
- Department of Health Sciences, University of Genoa, Via A. Pastore 1, 16132 Genoa, Italy; S.I.T.R.A, Fondazione IRCCS Istituto Neurologico Carlo Besta, Via G. Celoria, 11, 20133 Milan, Italy.
| | - Giuseppe Aleo
- Department of Health Sciences, University of Genoa, Via A. Pastore 1, 16132 Genoa, Italy; Faculty of Nursing and Midwifery, Royal College of Surgeons in Ireland, 123 St. Stephen's Green, Dublin, Ireland.
| | - Gianluca Catania
- Department of Health Sciences, University of Genoa, Via A. Pastore 1, 16132 Genoa, Italy.
| | - Milko Zanini
- Department of Health Sciences, University of Genoa, Via A. Pastore 1, 16132 Genoa, Italy.
| | - Loredana Sasso
- Department of Health Sciences, University of Genoa, Via A. Pastore 1, 16132 Genoa, Italy.
| | - Annamaria Bagnasco
- Department of Health Sciences, University of Genoa, Via A. Pastore 1, 16132 Genoa, Italy.
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Musio ME, Calabrese E, Gammone M, Catania G, Zanini M, Aleo G, Watson R, Sasso L, Bagnasco A. Nursing competence in continuous renal replacement therapy: development and validation of a measurement tool. Prof Inferm 2022; 75:218-225. [PMID: 38277382 DOI: 10.7429/pi.2022.754218] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/28/2024]
Abstract
BACKGROUND Acute Renal Failure is an essential condition frequently encountered in intensive care units and requires targeted treatment. The critical care nursing team must be adequately trained to manage patients undergoing Continuous Renal Replacement Therapy. OBJECTIVES To develop and validate the Continuous Renal Replacement Therapy - Measurement Competency Tool, aimed at measuring nursing competence in managing patients undergoing renal replacement techniques. METHODS A cross-sectional tool validation study with a test-retest.A total of 30 critical care nurses participated in this study. The study examined content and face validity. Test-retest reliability with Pearson's r correlation and internal consistency reliability was assessed using Cronbach's α. Current guidelines for Continuous Renal Replacement Therapy techniques were used to develop an instrument to measure nursing competence through an online survey. A pool of 10 experts evaluated this tool. RESULTS The Continuous Renal Replacement Therapy - Measurement Competency Tool achieved good content and face validity (S-CVI= 0.97; I-CVI=87%-100%), and good internal consistency reliability (Cronbach's α= 0.799). Pilot testing and test-retesting was conducted with 30 critical care nurses. The intraclass correlation for the test-retest analysis indicates excellent test-retest reliability, confirming the stability of the tool. ConclUSION The tool assesses nursing competence concerning Continuous Renal Replacement Therapy techniques in the intensive care unit, which proved to be valid and reliable. This new tool will make it possible to measure the competence of nurses with respect to Continuous Renal Replacement Therapy techniques.
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Affiliation(s)
- Maria Emma Musio
- Department of Health Sciences University of Genoa, Via A. Pastore, 1 16132 Genoa, Italy.
| | - Elena Calabrese
- Ospedale Evangelico Internazionale, Salita Superiore di S. Rocchino, 31/A 16122 Genoa, Italy
| | - Mariarosaria Gammone
- Department of Health Sciences University of Genoa, Via A. Pastore, 1 16132 Genoa, Italy
| | - Gianluca Catania
- Department of Health Sciences University of Genoa, Via A. Pastore, 1 16132 Genoa, Italy
| | - Milko Zanini
- Department of Health Sciences University of Genoa, Via A. Pastore, 1 16132 Genoa, Italy
| | - Giuseppe Aleo
- Department of Health Sciences University of Genoa, Via A. Pastore, 1 16132 Genoa, Italy
| | - Roger Watson
- Academic Dean, Southwest Medical University, Luzhou, China.
| | - Loredana Sasso
- Department of Health Sciences University of Genoa, Via A. Pastore, 1 16132 Genoa, Italy
| | - Annamaria Bagnasco
- Department of Health Sciences University of Genoa, Via A. Pastore, 1 16132 Genoa, Italy
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Orlik W, Aleo G, Kearns T, Briody J, Wray J, Mahon P, Gazić M, Radoš N, García Vivar C, Lillo Crespo M, Fitzgerald C. Economic evaluation of CPD activities for healthcare professionals: A scoping review. Med Educ 2022; 56:972-982. [PMID: 35451106 PMCID: PMC9543361 DOI: 10.1111/medu.14813] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/24/2021] [Revised: 04/12/2022] [Accepted: 04/19/2022] [Indexed: 06/14/2023]
Abstract
CONTEXT Continuing professional development (CPD) activities for healthcare professionals are central to the optimisation of patient safety and person-centred care. Although there is some evidence on the economics of healthcare professionals training, very little is known about the costs and benefits of CPD. METHODS This study aimed to review the research evidence on economic evaluations of CPD activities for healthcare professionals. CINAHL, MEDLINE/PubMed, Scopus, Econlit and Web of Science databases were used to identify articles published between 2010 and 2021. RESULTS Of the 6791 titles identified, 119 articles met the inclusion criteria and were included in this scoping review. The majority of articles were partial economic evaluations of CPD programmes (n = 70); half were from the USA. Studies that included multiple professions were most prevalent (n = 54), followed by nurses (n = 34) and doctors (n = 23). Patient outcomes were the most commonly reported outcome (n = 51), followed by change in clinical practice (n = 38) and healthcare professionals' knowledge gain (n = 19). CONCLUSIONS There is an urgent call for more evidence regarding the economic evaluations of CPD. This is particularly important in view of the rising costs of healthcare globally. The majority of studies included in this review did not provide detailed information on the evaluations and many focused exclusively on the cost of CPD activities rather than outcomes.
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Affiliation(s)
- Witold Orlik
- Faculty of Nursing and Midwifery, Royal College of Surgeons in Ireland, Dublin, Ireland
| | - Giuseppe Aleo
- Faculty of Nursing and Midwifery, Royal College of Surgeons in Ireland, Dublin, Ireland
| | - Thomas Kearns
- Faculty of Nursing and Midwifery, Royal College of Surgeons in Ireland, Dublin, Ireland
| | - Jonathan Briody
- Division of Population Health Sciences, Data Science Centre, Royal College of Surgeons in Ireland, Dublin, Ireland
| | - Jane Wray
- Faculty of Health Sciences, University of Hull, Hull, UK
| | - Paul Mahon
- Faculty of Nursing and Midwifery, Royal College of Surgeons in Ireland, Dublin, Ireland
| | | | | | | | | | - Catherine Fitzgerald
- Faculty of Nursing and Midwifery, Royal College of Surgeons in Ireland, Dublin, Ireland
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Zanini M, Musio ME, Watson R, Aleo G, Sasso L, Catania G, Bagnasco A. The structure of the Italian version of the Practice Environment Scale of the Nursing Work Index. J Nurs Manag 2022; 30:3440-3448. [PMID: 36125442 DOI: 10.1111/jonm.13808] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2022] [Revised: 09/10/2022] [Accepted: 09/14/2022] [Indexed: 11/28/2022]
Abstract
AIM To investigate the factor structure of an Italian translation of the Practice Environment Scale of the Nursing Work Index. BACKGROUND Italy suffers from high turnover rates, yet validated tools in Italian to study and manage the problem are lacking. The Practice Environment Scale of the Nursing Work Index measures aspects of nurses' working environment. This study reports on the translation and investigation of the structure of the translated Practice Environment Scale of the Nursing Work Index scale. METHODS A survey was conducted with 3667 nurses from 182 hospitals across 13 Italian regions using the Practice Environment Scale of the Nursing Work Index. The structure of this scale was investigated using principal components analysis and other properties, including internal consistency (Cronbach's alpha). Construct validity was investigated using logistic regression. RESULTS The Italian translation of the Practice Environment Scale of the Nursing Work Index showed a five-factor structure and Cronbach's alpha of the factors ranged between 0.80-0.92. Logistic regression showed that the Practice Environment Scale of the Nursing Work Index was positively related to job satisfaction (Odds Ratio =10.3; CI 8.62-12.35) and negatively related to intention to leave (Odds Ratio =0.14; CI 0.12-0.16). CONCLUSIONS The original five-factor structure of the Practice Environment Scale of the Nursing Work Index was evident in the present study, albeit with some different factor loadings. IMPLICATIONS FOR NURSING MANAGEMENT The Italian version of the Practice Environment Scale of the Nursing Work Index can be used by nurse managers to tackle the workforce issues related to nurses' work environments in a major European country.
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Affiliation(s)
- Milko Zanini
- Department of Health Sciences, University of Genoa, Genoa, Italy
| | - Maria Emma Musio
- Department of Health Sciences, University of Genoa, Genoa, Italy
| | | | - Giuseppe Aleo
- Department of Health Sciences, University of Genoa, Genoa, Italy.,Faculty of Nursing and Midwifery, Royal College of Surgeons in Ireland, Dublin, Ireland
| | - Loredana Sasso
- Department of Health Sciences, University of Genoa, Genoa, Italy
| | - Gianluca Catania
- Department of Health Sciences, University of Genoa, Genoa, Italy
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Pagnucci N, Ottonello G, Capponi D, Catania G, Zanini M, Aleo G, Timmins F, Sasso L, Bagnasco A. Predictors of events of violence or aggression against nurses in the workplace: A scoping review. J Nurs Manag 2022; 30:1724-1749. [PMID: 35420236 PMCID: PMC9796891 DOI: 10.1111/jonm.13635] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2021] [Revised: 03/27/2022] [Accepted: 04/12/2022] [Indexed: 02/03/2023]
Abstract
AIM To identify predictors and consequences of violence or aggression events against nurses and nursing students in different work contexts. BACKGROUND Workplace violence against nurses and nursing students is a very common and widespread phenomenon. Actions to manage or prevent violent events could be implemented knowing the risk factors and consequences. However, there is a lack of systematic reviews that summarize knowledge on the predictors and consequences of workplace violence. EVALUATION A scoping review was conducted using electronic databases including APA PsycInfo, CINAHL, Cochrane, Ovid Medline, PubMed and Scopus. KEY ISSUES After full text analysis, 87 papers were included in the current scoping review. Risk factors of horizontal violence were grouped into 'personal' and 'Environmental and organizational', and for violence perpetrated by patients into 'personal', 'Environmental and organizational' and 'Characteristics of the perpetrators'. CONCLUSIONS The results of this scoping review uncover problems that often remain unaddressed, especially where these episodes are very frequent. Workplace violence prevention and management programmes are essential to counter it. IMPLICATIONS FOR NURSING MANAGEMENT The predictors and the consequents identified constitute the body of knowledge necessary for nurse managers to develop and implement policy and system actions to effectively manage or prevent violent events.
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Affiliation(s)
| | | | | | | | - Milko Zanini
- Department of Health SciencesUniversity of GenoaGenoa
| | - Giuseppe Aleo
- Department of Health SciencesUniversity of GenoaGenoa
| | - Fiona Timmins
- School of Nursing, Midwifery & Health SystemsUniversity College DublinDublinIreland
| | - Loredana Sasso
- School of Nursing, Midwifery & Health SystemsUniversity College DublinDublinIreland
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20
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Bagnasco A, Rossi S, Dasso N, Catania G, Zanini M, Aleo G, Scelsi S, Petralia P, Watson R, Sasso L. Exploring Care Left Undone in Pediatric Nursing. J Patient Saf 2022; 18:e903-e911. [PMID: 35617633 DOI: 10.1097/pts.0000000000001044] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
OBJECTIVES This study aimed to investigate the association between nursing care left undone in pediatrics and factors related to nursing staff characteristics and work environment. METHODS The data of the present study were extracted from our RN4CAST@IT-Ped database, a cross-sectional observational study, which included 13 hospitals belonging to the Italian Association of Paediatric Hospitals. Through convenience sampling, nurses and pediatric nurses providing direct care in routine pediatric wards were enrolled in the study. Data aggregated by clinical care area were analyzed, through descriptive and inferential statistics methods using IBM SPSS 22.0 software. RESULTS We collected data from 399 pediatric nurses working in surgical wards, 1208 in medical wards, and 631 in critical care units. Some of the investigated factors have shown an association with the risk of omitting essential nursing activities, like health care judged of poor quality, patient safety judged as poor, and nurses' intention-to-leave the job. For every nursing activity under investigation, we found some significant statistical associations. CONCLUSIONS Our results are consistent with the international literature showing that nurses miss some activities more frequently. Understanding the associations underpinning care left undone could be a starting point for the implementation of patient-centered care and the improvement of the quality and safety of care in pediatric settings, as well as the work environment.
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Affiliation(s)
| | - Silvia Rossi
- From the Department of Health Sciences, University of Genoa
| | | | | | - Milko Zanini
- From the Department of Health Sciences, University of Genoa
| | - Giuseppe Aleo
- From the Department of Health Sciences, University of Genoa
| | | | | | - Roger Watson
- Faculty of Health and Social Care, University of Hull, Hull, England, United Kingdom
| | - Loredana Sasso
- From the Department of Health Sciences, University of Genoa
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Watson R, Hayter M, Zanini M, Aleo G, Catania G, Sasso L, Bagnasco A. Does nursing have a contribution to make to the silver economy? Int Nurs Rev 2022; 70:145-148. [PMID: 35838326 DOI: 10.1111/inr.12789] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2022] [Accepted: 06/09/2022] [Indexed: 11/27/2022]
Abstract
AIM To discuss the possible contribution of nurses to the Silver Economy. BACKGROUND Older people constitute a growing sector of the population of developed countries and there is increasing interest in the concept of the Silver Economy which is the contribution older people can and do make to the general economies of their communities and countries. SOURCES OF EVIDENCE We obtained a range of relevant documents from international organisations and related academic literature. DISCUSSION There is a range of interrelated health promotion aspects of ageing related to physical health, mental health and cognitive health. Promoting activities related to these could have both direct and indirect impact on the economy in addition to improving the health and well-being of older people. CONCLUSIONS Nurses have a responsibility to understand the health promotion related aspects of ageing and the contribution they can make to improving the health and well-being of older people. Nurses could, specifically, promote activities amongst older people that will have an impact on health and on the economy. IMPLICATIONS FOR NURSING Nurses need to integrate more health promotion related aspects of ageing into their practice and to be able to evaluate the health-related improvements they make and also to evaluate and indicate the contribution this makes to the health of older people and to the economy.
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Affiliation(s)
- Roger Watson
- Academic Dean, Southwest Medical University, Luzhou, China
| | - Mark Hayter
- Full Professor and Head of Nursing, Faculty of Health, Psychology & Social Care, Manchester Metropolitan University, Manchester, UK
| | - Milko Zanini
- Lecturer of Scientific English, Department of Health Sciences, University of Genoa, Genoa, Italy
| | - Giuseppe Aleo
- Assistant Professor and Researcher, Department of Health Sciences, University of Genoa, Genoa, Italy
| | - Gianluca Catania
- Assistant Professor and Researcher, Department of Health Sciences, University of Genoa, Genoa, Italy
| | - Loredana Sasso
- Professor of Nursing, Department of Health Sciences, University of Genoa, Genoa, Italy
| | - Annamaria Bagnasco
- Professor of Nursing, Department of Health Sciences, University of Genoa, Genoa, Italy
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Bagnasco A, Zanini M, Catania G, Aleo G, Turunen H, Tella S, Sara-Aho A, Vizcaya-Moreno MF, Pérez-Cañaveras RM, Myhre K, Ringstad Ø, Ekman GAS, Porras J, Rossi S, Morey S, Johnsen L, Patterson L, Larkin V, Azimirad M, Khakurel J, Dasso N, Haatainen K, Timmins F, Wilson-Menzfeld G, Sasso L, Pearson P, Steven A. Learning From Student Experience: Development of an International Multimodal Patient Safety Education Package. Nurse Educ 2022; 47:E75-E79. [PMID: 34878424 DOI: 10.1097/nne.0000000000001138] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
BACKGROUND Patient safety is a global concern. Learning to provide safe, high-quality care is core to nursing education. PROBLEM Students are exposed to diverse clinical practices, and experiences may vary between placements and across countries. Student experience is seldom used as an educational resource. APPROACH An international, European Union-funded project, Sharing Learning from Practice for Patient Safety (SLIPPs), aimed to develop an innovative online educational package to assist patient safety learning. Based on student reported data and educational theory, multiple elements were iteratively developed by a multicountry, multidisciplinary group. OUTCOMES The educational package is freely available on the SLIPPs Web site. Materials include a student reporting and reflection tool, virtual seminars, student reports data set, pedagogical game, high-fidelity simulation scenarios, scenario development and use guidelines, debriefing session model, and videos of simulations already performed. CONCLUSIONS E-learning enables removal of physical barriers, allowing educators, professionals, and students from all over the world to collaborate, interact, and learn from each other.
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Affiliation(s)
- Annamaria Bagnasco
- Professor (Drs Bagnasco and Sasso), Assistant Professor (Drs Zannini and Catania), Lecturer (Dr Aleo), and Researcher (Dr Dasso), Department of Health Sciences, University of Genoa, Italy; Professor (Dr Turunen), Researcher (Ms Azimirad), and Docent/Patient Safety Manager (Dr Haatainen), Department of Nursing Science, Kuopio University Hospital, University of Eastern Finland, Kuopio; Chief Specialist (Dr Tella) and Senior Lecturer (Ms Sara-Aho), Department of Health and Social Care, LAB University of Applied Sciences, Lappeenranta, Finland; Associate Professor (Drs Vizcaya-Moreno and Pérez-Cañaveras), Nursing Department, Faculty of Health Sciences, University of Alicante, Spain; Associate Professor (Drs Myhre and Ringstad) and Assistant Professor (Ms Ekman), Ostfold University College of Health and Social Studies, Halden, Norway; Professor (Dr Porras), Department of Software Engineering, LUT University, Lappeenranta, Finland; Childrens Nurse (Dr Rossi), Istituto Giannina Gaslini, Genova, Italy; Senior Lecturer (Drs Morey, Larkin, and Wilson-Menzfeld), Lecturer (Ms Patterson), and Professor (Drs Pearson and Steven), Department of Nursing, Midwifery and Health, Northumbria University, Newcastle upon Tyne, UK; Legal Special Adviser (Mr Johnsen), Fredrikstad municipality, Norway; Senior Researcher (Dr Khakurel), Department of Child Psychiatry, University of Turku, Finland; and Professor (Dr Timmins), School of Nursing, Midwifery and Health Systems, University College Dublin, Ireland
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Steven A, Pearson P, Turunen H, Myhre K, Sasso L, Vizcaya-Moreno MF, Pérez-Cañaveras RM, Sara-Aho A, Bagnasco A, Aleo G, Patterson L, Larkin V, Zanini M, Porras J, Khakurel J, Azimirad M, Ringstad Ø, Johnsen L, Haatainen K, Wilson G, Rossi S, Morey S, Tella S. Development of an International Tool for Students to Record and Reflect on Patient Safety Learning Experiences. Nurse Educ 2022; 47:E62-E67. [PMID: 34882101 DOI: 10.1097/nne.0000000000001142] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
BACKGROUND Underpinning all nursing education is the development of safe practitioners who provide quality care. Learning in practice settings is important, but student experiences vary. PURPOSE This study aimed to systematically develop a robust multilingual, multiprofessional data collection tool, which prompts students to describe and reflect on patient safety experiences. APPROACH Core to a 3-year, 5-country, European project was development of the SLIPPS (Sharing Learning from Practice for Patient Safety) Learning Event Recording Tool (SLERT). Tool construction drew on literature, theory, multinational and multidisciplinary experience, and involved pretesting and translation. Piloting included assessing usability and an initial exploration of impact via student interviews. OUTCOMES The final SLERT (provided for readers) is freely available in 5 languages and has face validity for nursing across 5 countries. Student reports (n = 368) were collected using the tool. CONCLUSIONS The tool functions well in assisting student learning and for collecting data. Interviews indicated the tool promoted individual learning and has potential for wider clinical teams.
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Affiliation(s)
- Alison Steven
- Professor (Drs Steven and Pearson), Lecturer (Ms Patterson), and Senior Lecturer (Drs Larkin, Wilson, and Morey), Department of Nursing, Midwifery and Health, Northumbria University, Newcastle upon Tyne, UK; Professor (Dr Turunen), Researcher (Ms Azimirad), and Docent/Patient Safety Manager (Dr Haatainen), Department of Nursing Science/Kuopio University Hospital, University of Eastern Finland, Kuopio; Associate Professor (Drs Myhre and Ringstad), Ostfold University College of Health and Social Studies, Halden, Norway; Professor (Drs Sasso and Bagnasco), Lecturer (Dr Aleo), and Assistant Professor (Dr Zannini), Department of Health Sciences, University of Genoa, Italy; Associate Professor (Drs Vizcaya-Moreno and Pérez-Cañaveras), Nursing Department, Faculty of Health Sciences, University of Alicante, Spain; Professor (Dr Porras), Department of Software Engineering, LUT University, Lappeenranta; Senior Researcher (Dr Khakurel) Department of Child Psychiatry, University of Turku, Finland; Legal Special Adviser (Mr Johnsen), Fredrikstad municipality, Norway; Children's Nurse (Dr Rossi), Istituto Giannina Gaslini, Genova, Italy; Senior Lecturer (Ms Sara-Aho) and Chief Specialist (Dr Tella), Department of Health and Social Care, LAB University of Applied Sciences, Lappeenranta, Finland
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Bagnasco A, Barisone M, Aleo G, Watson R, Catania G, Zanini M, Thompson DR, Sasso L. An international e-Delphi study to identify core competencies for Italian cardiac nurses. Eur J Cardiovasc Nurs 2021; 20:684-691. [PMID: 33595064 DOI: 10.1093/eurjcn/zvab003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/25/2019] [Revised: 02/11/2020] [Accepted: 01/15/2021] [Indexed: 11/12/2022]
Abstract
AIMS The management of cardiovascular patients requires increasingly competent nursing professionals. In Italy, there are no specific postgraduate courses focused on specialist cardiac skills development for nurses. To develop such courses, content incorporating appropriate competencies is required and this study was designed to meet this. To delineate a set of core competencies to develop national educational interventions to ensure cardiac nurses in Italy achieve international standards. METHODS AND RESULTS A three-round e-Delphi study including a panel of 32 expert cardiac nurses from the UK, Canada, Australia, New Zealand, and Italy was conducted; 26 respondents completed all three rounds. The first round sought a list of five competencies from each participant which they were asked to prioritize in Round 2. In Round 3, they were asked to prioritize again with the knowledge of the priorities identified in Round 2. The final list of competencies was those achieving 70% agreement among participants. We identified 14 core competencies spanning a range of areas of competence including technical, interpersonal, health promotion, use of evidence, and management. Only minor differences were evident between the Italian and the international panel regarding the priority given to some core competences, such a leadership and taking patient history. CONCLUSION This is the first study in Italy to delineate cardiac nurses' core competencies. As such, it provides a foundation for the development of postgraduate educational programmes for cardiac nurses including competencies that are congruent with international standards.
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Affiliation(s)
- Annamaria Bagnasco
- Department of Health Sciences, University of Genoa, Via Pastore, 1, 16132 Genoa, Italy
| | - Michela Barisone
- University of Piemonte Orientale "Amedeo Avogadro", Department of Translational Medicine, via Solaroli, 17 - 28100 Novara, Italy
| | - Giuseppe Aleo
- Department of Health Sciences, University of Genoa, Via Pastore, 1, 16132 Genoa, Italy
| | - Roger Watson
- Faculty of Health Sciences, Department of Nursing, University of Hull, Hull HU6 7RS, UK
| | - Gianluca Catania
- Department of Health Sciences, University of Genoa, Via Pastore, 1, 16132 Genoa, Italy
| | - Milko Zanini
- Department of Health Sciences, University of Genoa, Via Pastore, 1, 16132 Genoa, Italy
| | - David R Thompson
- School of Nursing and Midwifery, Queen's University Belfast, 97 Lisburn Road, Medical Biology Centre, BT9 7BL Belfast, UK
| | - Loredana Sasso
- Department of Health Sciences, University of Genoa, Via Pastore, 1, 16132 Genoa, Italy
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Zanini M, Catania G, Ripamonti S, Watson R, Romano A, Aleo G, Timmins F, Sasso L, Bagnasco A. The WeanCare nutritional intervention in institutionalized dysphagic older people and its impact on nursing workload and costs: A quasi-experimental study. J Nurs Manag 2021; 29:2620-2629. [PMID: 34342076 PMCID: PMC9292428 DOI: 10.1111/jonm.13435] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2021] [Revised: 07/21/2021] [Accepted: 07/30/2021] [Indexed: 12/29/2022]
Abstract
AIM The aim of this study is to explore how a nutritional intervention that improves the biochemical and functional profile of dysphagic older people impacts on nursing workload and costs for nursing homes. BACKGROUND Dysphagic institutionalized older people particularly at risk of malnutrition require more intensive support from nursing staff and higher costs for nursing homes. METHOD This is an open pre-post longitudinal multicentre quasi-experimental study without a control group. RESULTS There is a significant reduction in the number of enemas (from 3.51 to 1.11 enemas), with an average nursing workload reduction from 52 to 16 min per patient every month. Each nurse also spent 20 h less per patient every month spoon-feeding. This resulted in nursing staff cost savings. CONCLUSIONS The nutritional intervention led to a significantly better quality of life for the patients manifested through increased independence and social engagement. This reduced workload for nursing staff and costs for nursing home administrators. IMPLICATIONS FOR NURSING MANAGEMENT Sensitive, targeted nutritional interventions have the potential to improve nursing home residents' quality of life and enable a more efficient use of resources. This study revealed reduced workload and cost savings due to less time spent administering enemas and spoon-feeding, in addition to reduced malnutritional consequences.
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Affiliation(s)
- Milko Zanini
- Dipartimento di Scienze della Salute, Università degli Studi di Genova, Genoa, Italy
| | - Gianluca Catania
- Dipartimento di Scienze della Salute, Università degli Studi di Genova, Genoa, Italy
| | | | - Roger Watson
- Faculty of Health and Social Care, University of Hull, Hull, UK
| | - Antonio Romano
- Pharmaceutical and Technical Chemistry, Head R&D Healthy Ageing Research Group, Cremona, Italy
| | - Giuseppe Aleo
- Dipartimento di Scienze della Salute, Università degli Studi di Genova, Genoa, Italy
| | - Fiona Timmins
- UCD School of Nursing, Midwifery and Health Systems, University College Dublin, Belfield, Dublin, Ireland
| | - Loredana Sasso
- Dipartimento di Scienze della Salute, Università degli Studi di Genova, Genoa, Italy
| | - Annamaria Bagnasco
- Dipartimento di Scienze della Salute, Università degli Studi di Genova, Genoa, Italy
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Steven A, Wilson G, Turunen H, Vizcaya-Moreno MF, Azimirad M, Kakurel J, Porras J, Tella S, Pérez-Cañaveras R, Sasso L, Aleo G, Myhre K, Ringstad Ø, Sara-Aho A, Scott M, Pearson P. Critical Incident Techniques and Reflection in Nursing and Health Professions Education: Systematic Narrative Review. Nurse Educ 2021; 45:E57-E61. [PMID: 31972840 DOI: 10.1097/nne.0000000000000796] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
BACKGROUND The terms critical incident technique and reflection are widely used but often not fully explained, resulting in ambiguity. PURPOSE The aims of this review were to map and describe existing approaches to recording or using critical incidents and reflection in nursing and health professions literature over the last decade; identify challenges, facilitating factors, strengths, and weaknesses; and discuss relevance for nursing education. METHODS A systematic narrative review was undertaken. MEDLINE and the Cumulative Index to Nursing and Allied Health Literature were searched using MeSH terms, returning 223 articles (2006-2017). After exclusions, 41 were reviewed. RESULTS Articles were categorized into 3 areas: descriptions of the development of an original tool or model, critical incidents or reflection on events used as a learning tool, and personal reflections on critical incidents. CONCLUSIONS Benefits have been identified in all areas. More attention is needed to the pedagogy of reflection and the role of educators in reflection.
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Affiliation(s)
- Alison Steven
- Author Affiliations: Professor of Research in Nursing and Health Professions Education (Dr Steven) and Vice Chancellors Fellow (Dr Wilson), Department of Nursing, Midwifery and Health, Northumbria University, United Kingdom; Professor of Nursing (Dr Turunen) and PhD Student (Ms Azimirad), Department of Nursing Science, University of Eastern Finland, Finland; Associate Professors (Drs Vizcaya-Moreno and Pérez-Cañaveras), Nursing Department, University of Alicante, Spain; Postdoctoral Researcher (Dr Kakurel), Copenhagen Centre for Health Technology, Denmark; Professor of Innovation & Software (Dr Porras), Department of Innovation & Software, Lappeenranta University of Technology, Finland; Senior Lecturer (Dr Tella) and Lecturer (Ms Sara-Aho), Faculty of Health Care and Social Services, Saimaa University of Applied Sciences, Finland; Professor of Nursing (Ms Sasso) and Lecturer, (Dr Aleo), Department of Health Sciences, University of Genoa, Italy; Associate Professors (Drs Myhre and Ringstad), Østfold University College, Norway; and Senior Lecturer (Ms Scott) and Professor of Nursing (Dr Pearson), Department of Nursing, Midwifery and Health, Northumbria University, United Kingdom
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Bagnasco A, Rosa F, Dasso N, Aleo G, Catania G, Zanini M, Rocco G, Turci C, Ghirotto L, Hayter M, Sasso L. Caring for patients at home after acute exacerbation of chronic obstructive pulmonary disease: A phenomenological study of family caregivers' experiences. J Clin Nurs 2021; 30:2246-2257. [PMID: 33350526 DOI: 10.1111/jocn.15613] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2020] [Revised: 11/03/2020] [Accepted: 11/09/2020] [Indexed: 12/18/2022]
Abstract
AIMS AND OBJECTIVES To understand the experiences and support needs of informal caregivers of patients with chronic obstructive pulmonary diseases chronic obstructive pulmonary disease who return home following an acute exacerbation. BACKGROUND The presence of an informal caregiver is important to provide practical and emotional support after an episode of acute exacerbation of chronic obstructive pulmonary disease. However, caregiving in such circumstances can be challenging and stressful. DESIGN Phenomenology. METHODS This is a phenomenological study based on semi-structured interviews with sixteen primary caregivers of chronic obstructive pulmonary disease patients. Interview data were analysed using Colaizzi's descriptive analysis framework, to identify significant themes and sub-themes. Data were collected between April-December 2017 in a Teaching Hospital in Italy. The study was designed and reported following the COREQ guidelines and checklist. RESULTS Analysis elicited five themes embracing various aspects of the caregivers' lived experiences: (a) a home disrupted, (b) living with constant vigilance and anxiety, (c) feeling the need to escape (d) self-justifications for caregiving role/duty, and (e) feeling abandoned by professionals. CONCLUSIONS Our results show that carers experience a range of difficulties when caring for their relative at home with chronic obstructive pulmonary disease. Some of these are linked to the physical disruption of their home but many are linked to feelings of inability to cope and the psycho-social impact of the caring role. The study also shows how participants felt unsupported by professionals. Focused support for carers is required to enable them to meet these challenges. RELEVANCE TO CLINICAL PRACTICE Healthcare professionals should be trained to provide technical and psychological support to caregivers especially during the phases of disease that may involve episodes of exacerbation. Home care and continuity of care can work if there is excellent communication and collaboration between healthcare professionals and caregivers. Developing appropriate support for family caregivers is essential to address the problems they can face.
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Affiliation(s)
| | - Francesca Rosa
- Department of Health Sciences, University of Genoa, Genoa, Italy
| | - Nicoletta Dasso
- Department of Health Sciences, University of Genoa, Genoa, Italy
| | - Giuseppe Aleo
- Department of Health Sciences, University of Genoa, Genoa, Italy
| | - Gianluca Catania
- Department of Health Sciences, University of Genoa, Genoa, Italy
| | - Milko Zanini
- Department of Health Sciences, University of Genoa, Genoa, Italy
| | - Gennaro Rocco
- National Social Security Council (ENPAPI, Roma, Italy
| | - Carlo Turci
- Ordine Professioni Infermieristiche di Roma, Roma, Italy
| | - Luca Ghirotto
- Qualitative Research Unit, Azienda USL - IRCCS di Reggio Emilia, Emilia, Italy
| | - Mark Hayter
- School of Health & Social Work, University of Hull, Hull, UK
| | - Loredana Sasso
- Department of Health Sciences, University of Genoa, Genoa, Italy
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Catania G, Zanini M, Signori A, Dal Molin A, Pilastri P, Bottino M, Cervetti C, Aleo G, Sasso L, Bagnasco A. Providing a nurse-led complex nursing INtervention FOcused on quality of life assessment on advanced cancer patients: The INFO-QoL pilot trial. Eur J Oncol Nurs 2021; 52:101961. [PMID: 33984605 DOI: 10.1016/j.ejon.2021.101961] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2020] [Revised: 04/06/2021] [Accepted: 04/13/2021] [Indexed: 10/21/2022]
Abstract
PURPOSE Unmet needs for advanced-disease cancer patients are fatigue, pain, and emotional support. Little information is available about the feasibility of interventions focused on patient-reported outcome measurement developed according to the Medical Research Council (MRC) Framework in advanced-disease cancer patients. We aimed to pilot a nurse-led complex intervention focused on QoL assessment in advanced-disease cancer patients. METHODS The INFO-QoL study was based on an exploratory, nonequivalent comparison group, pre-test-post-test design. Study sites received either the INFO-QoL intervention or usual care. Adult advanced-disease cancer patients admitted to hospice inpatient units that gave their informed consent were included in the study. Subjects were 187 patients and their families and 19 healthcare professionals. We evaluated feasibility, acceptability, and patients' outcomes using the Integrated Palliative Care Outcome Scale. RESULTS Nineteen healthcare professionals were included. The mean competence score increased significantly over time (p < 0.001) and the mean usefulness score was high 8.63 (±1.36). In the post-test phase, 54 patients were allocated to the experimental unit and 36 in the comparison unit. Compared to the comparison unit, in the experimental unit anxiety (R2 = 0.07; 95% CI = -0.06; 0.19), family anxiety (R2 = 0.22; 95% CI = -0.03; 0.41), depression (R2 = 0.31; 95% CI = -0.05; 0.56) and sharing feelings (R2 = 0.09; 95% CI = -0.05; 0.23), were improved between pre-test and post-test phase. CONCLUSIONS The INFO-QoL was feasible and potentially improved psychological outcomes. Despite the high attrition rate, the INFO-QoL improved the quality and safety culture for patients in palliative care settings.
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Affiliation(s)
- Gianluca Catania
- Department of Health Sciences, University of Genoa, Via Antonio Pastore, 1, 16132, Genoa, Italy; Senior Fellow of Center for Health Outcomes and Policy Research, School of Nursing, University of Pennsylvania, USA.
| | - Milko Zanini
- Department of Health Sciences, University of Genoa, Via Antonio Pastore, 1, 16132, Genoa, Italy.
| | - Alessio Signori
- Department of Health Sciences, University of Genoa, Via Antonio Pastore, 1, 16132, Genoa, Italy.
| | - A Dal Molin
- Department of Translational Medicine, University of Eastern Piedmont, Via Solaroli, 17, 28100, Novara, Italy.
| | - Paola Pilastri
- Hospice Unit "Maria Chighine", Policlinico San Martino, Largo Rosanna Benzi, 10, 16132, Genoa, Italy.
| | - Marta Bottino
- Hospice Gigi Ghirotti, Corso Europa, 50, 16132, Genoa, Italy.
| | | | - Giuseppe Aleo
- Department of Health Sciences, University of Genoa, Via Antonio Pastore, 1, 16132, Genoa, Italy.
| | - Loredana Sasso
- Department of Health Sciences, University of Genoa, Via Antonio Pastore, 1, 16132, Genoa, Italy.
| | - Annamaria Bagnasco
- Department of Health Sciences, University of Genoa, Via Antonio Pastore, 1, 16132, Genoa, Italy.
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Bianchi M, Ghirotto L, Bagnasco A, Catania G, Zanini M, Aleo G, Hayter M, Sasso L. "Tutor and student dyadic interactions in relation to Interprofessional education and clinical care: A constructivist grounded theory study". J Adv Nurs 2020; 77:922-933. [PMID: 33222216 DOI: 10.1111/jan.14643] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2020] [Revised: 09/27/2020] [Accepted: 10/30/2020] [Indexed: 12/01/2022]
Abstract
AIM The aim of this study was to explore and understand the interprofessional collaboration preparation processes implemented by clinical tutors and students, in various professions, involved in interprofessional education experiences. DESIGN A constructivist grounded theory approach. The study was carried out between 2015-#2017. METHOD Semi-structured interviews were conducted with a total of ten undergraduate students and the seven clinical tutors who supervised them from three undergraduate courses in a university of applied sciences and arts in Switzerland. Students were sampled during their clinical placement. Data were analysed and coded using constant comparative analysis with the support of Nvivo 10 software. RESULTS A substantive theory "Practicing contextual models of interprofessional care" was generated. It explains how the whole process takes place, the tutor-student interactions, and how together they gradually build models of interprofessional care, linked to their clinical context and to the patients/families who are part of it. CONCLUSION The process describes a journey to comprehensively explain the roles played by the two main actors (student and tutor) who build a relationship of interaction. IMPACT This theory provides an understanding of the complex process set up by students and how they are prepared for collaboration with other professionals. Its importance is mainly expressed in the educational field because it reveals a different vision from the one present so far and enables a thorough reflection from the pedagogical point of view. Teachers will be able to observe and approach the students' training curricula from a different point of view by evaluating any changes to favour it and rethink the organizational and training models of current programs.
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Affiliation(s)
- Monica Bianchi
- Department of Business Economics, Health and Social Care, University of Applied Sciences and Arts of Southern Switzerland, Manno, Switzerland
| | - Luca Ghirotto
- Azienda USL - IRCCS di Reggio Emilia, Direzione Scientifica, Reggio Emilia, Italy
| | | | - Gianluca Catania
- Department of Health Sciences, University of Genoa, Genoa, Italy
| | - Milko Zanini
- Department of Health Sciences, University of Genoa, Genoa, Italy
| | - Giuseppe Aleo
- Department of Health Sciences, University of Genoa, Genoa, Italy
| | - Mark Hayter
- Faculty of Health Sciences, University of Hull, Hull, UK
| | - Loredana Sasso
- Department of Health Sciences, University of Genoa, Genoa, Italy
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30
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Catania G, Zanini M, Hayter M, Timmins F, Dasso N, Ottonello G, Aleo G, Sasso L, Bagnasco A. Lessons from Italian front-line nurses' experiences during the COVID-19 pandemic: A qualitative descriptive study. J Nurs Manag 2020; 29:404-411. [PMID: 33107657 DOI: 10.1111/jonm.13194] [Citation(s) in RCA: 108] [Impact Index Per Article: 27.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2020] [Revised: 10/14/2020] [Accepted: 10/20/2020] [Indexed: 11/26/2022]
Abstract
AIM To explore nursing management issues within COVID-19 narratives of Italian front-line nurses. BACKGROUND The COVID-19 pandemic has dramatically affected health systems and professionals worldwide. Italian nurses have key messages for nursing leaders following their acute experiences in the pandemic. METHOD A descriptive qualitative study with thematic analysis. RESULTS Twenty-three testimonies from clinical nurses were analysed. Six macrothemes were identified as follows: organisational and logistic change; leadership models adopted to manage the emergency; changes in nursing approaches; personal protective equipment issues; physical and psychological impact on nurses; and team value/spirit. CONCLUSIONS Our testimonies highlighted the huge impact of COVID-19 on the Italian nursing workforce, especially in terms of the high risks associated with caring for COVID-19 patients, exacerbated by the shortage of appropriate personal protective equipment. Nurses had to care for their colleagues and live separately from their families to avoid infecting them, revealing nurses' resilience and the important role of effective and sensitive management. IMPLICATIONS FOR NURSING MANAGEMENT Nurse managers must be prepared for the impact of pandemics on staff and need to ensure availability and replacement of quality personal protective equipment, rehearse strategies for communicating with patients while wearing personal protective equipment and establish protocols for communicating with relatives.
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Affiliation(s)
- Gianluca Catania
- Department of Health Sciences, University of Genoa, Genoa, Italy
| | - Milko Zanini
- Department of Health Sciences, University of Genoa, Genoa, Italy
| | - Mark Hayter
- Faculty of Health Sciences, University of Hull, Hull, UK
| | - Fiona Timmins
- School of Nursing and Midwifery, Trinity College Dublin, Dublin, Ireland
| | - Nicoletta Dasso
- Department of Health Sciences, University of Genoa, Genoa, Italy
| | - Giulia Ottonello
- Department of Health Sciences, University of Genoa, Genoa, Italy
| | - Giuseppe Aleo
- Department of Health Sciences, University of Genoa, Genoa, Italy
| | - Loredana Sasso
- Department of Health Sciences, University of Genoa, Genoa, Italy
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Bagnasco A, Catania G, Zanini M, Dasso N, Rossi S, Aleo G, Timmins F, Sermeus W, Aiken LH, Sasso L. Are data on missed nursing care useful for nursing leaders? The RN4CAST@IT cross-sectional study. J Nurs Manag 2020; 28:2136-2145. [PMID: 32881131 DOI: 10.1111/jonm.13139] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2020] [Revised: 08/04/2020] [Accepted: 08/20/2020] [Indexed: 11/30/2022]
Abstract
AIM To describe nurses' reported missed nursing care activities among hospitalized adult patients medical and surgical wards and explore gaps in service provision. BACKGROUND In 2015, Italy replicated the RN4CAST study, which heralded the exposition of missed care as an international phenomenon. In Italy, nurse-patient workload is high, with high levels of burnout and dissatisfaction reported, all factors associated with missed care. METHODS A cross-sectional study (n = 3,590) was conducted using the 13-item online Task Left Undone Tool aimed at collecting data on missed nursing care. RESULTS The frequency of omission of activities ranged between 7% and 50%. There were significant differences between morning, afternoon and night shifts and the various clinical settings. Oral care was the most frequently missed care activity. CONCLUSIONS This study takes step forward in identifying and reducing missed care on medical and surgical wards, both in Italy and also internationally, which needs to take into account the specific organisational characteristics of each setting. IMPLICATIONS FOR NURSING MANAGEMENT Although more essential activities are missed less frequently, much is known about the relational deficits such as information giving, education, communication and discharge advice, which managers ought to spearhead through local initiatives to improve these practices.
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Affiliation(s)
- Annamaria Bagnasco
- Dipartimento di Scienze della Salute, Università degli Studi di Genova, Genoa, Italy
| | - Gianluca Catania
- Dipartimento di Scienze della Salute, Università degli Studi di Genova, Genoa, Italy
| | - Milko Zanini
- Dipartimento di Scienze della Salute, Università degli Studi di Genova, Genoa, Italy
| | - Nicoletta Dasso
- Dipartimento di Scienze della Salute, Università degli Studi di Genova, Genoa, Italy
| | - Silvia Rossi
- Dipartimento di Scienze della Salute, Università degli Studi di Genova, Genoa, Italy
| | - Giuseppe Aleo
- Dipartimento di Scienze della Salute, Università degli Studi di Genova, Genoa, Italy
| | - Fiona Timmins
- School of Nursing and Midwifery, Trinity College Dublin, Dublin, Ireland
| | - Walter Sermeus
- Department of Public Health & Primary Care, KU Leuven, Leuven, Belgium
| | - Linda H Aiken
- Center for Health Outcomes and Policy Research, School of Nursing, University of Pennsylvania, Philadelphia, PA, USA
| | - Loredana Sasso
- Dipartimento di Scienze della Salute, Università degli Studi di Genova, Genoa, Italy
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Barisone M, Bagnasco A, Hayter M, Rossi S, Aleo G, Zanini M, Catania G, Pellegrini R, Dasso N, Ghirotto L, Sasso L. Dermatological diseases, sexuality and intimate relationships: A qualitative meta-synthesis. J Clin Nurs 2020; 29:3136-3153. [PMID: 32531872 DOI: 10.1111/jocn.15375] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2019] [Revised: 05/11/2020] [Accepted: 05/17/2020] [Indexed: 02/03/2023]
Abstract
AIMS AND OBJECTIVES To conduct a systematic review and meta-synthesis of findings from qualitative research about sexuality and intimate relationship among patients with dermatological diseases. BACKGROUND Over the last few decades, there has been an increase in clinical research investigating aspects related to sex and sexuality in patients living with dermatological diseases. In fact, studies recognise a negative impact on various aspects of intimacy, such as sexual function, self-esteem and romantic relationships. The body of qualitative literature about sexuality in the context of dermatological diseases is emerging but consists mainly of small studies that would benefit from aggregation, synthesis and interpretation to highlight and summarise the overarching dimensions to this clinical issue. DESIGN A systematic review and meta-synthesis of qualitative studies. METHODS BioMed Central, Cochrane Library, MEDLINE, CINAHL, PsycINFO, PsycARTICLES, ERIC, Scopus, and Web of Science were searched between June-November 2017 with no publication date limits. Screening and selection of studies was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines (PRISMA). After retrieval, the qualitative data were subject to meta-synthesis to identify overarching themes. RESULTS Ten qualitative studies were found. We identified four themes: (a) Embarrassment and shame; (b) Impaired sense of attractiveness and sexual avoidance; (c) Relationship issues; and (d) Lack of professional support. The patients in these studies adopted negative coping styles, such as avoidance and hiding their bodies. CONCLUSION When assessing and evaluating patient care in dermatology, it is important that sexuality and the impact the disease could have on relationships is included. RELEVANCE TO CLINICAL PRACTICE An important part of nursing care is ensuring that patients are helped to develop positive coping strategies rather than negative ones. Patients with dermatological conditions also need advice and treatment to address any physically related sexual problems. Nurses need to be the initiators of these sensitive conversations to put patients at ease and work together to implement positive measures to reduce the sexuality-related issues patients face.
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Affiliation(s)
- Michela Barisone
- Department of Health Sciences, University of Genoa, Genoa, Italy
| | | | - Mark Hayter
- School of Health & Social Work, University of Hull, Hull, UK
| | - Silvia Rossi
- Department of Health Sciences, University of Genoa, Genoa, Italy
| | - Giuseppe Aleo
- Department of Health Sciences, University of Genoa, Genoa, Italy
| | - Milko Zanini
- Department of Health Sciences, University of Genoa, Genoa, Italy
| | - Gianluca Catania
- Department of Health Sciences, University of Genoa, Genoa, Italy
| | | | - Nicoletta Dasso
- Department of Health Sciences, University of Genoa, Genoa, Italy
| | - Luca Ghirotto
- Arcispedale Santa Maria Nuova - IRCCS, Direzione Scientifica, Reggio Emilia, Italy
| | - Loredana Sasso
- Department of Health Sciences, University of Genoa, Genoa, Italy
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Bagnasco A, Dasso N, Rossi S, Timmins F, Watson R, Aleo G, Catania G, Zanini M, Sasso L. A cross-sectional multisite exploration of Italian paediatric nurses' reported burnout and its relationship to perceptions of clinical safety and adverse events using the RN4CAST@IT-Ped. J Adv Nurs 2020. [PMID: 32352176 DOI: 10.1111/jan.14401] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2019] [Revised: 03/19/2020] [Accepted: 04/15/2020] [Indexed: 11/30/2022]
Abstract
AIM To explore Italian paediatric nurses' reported burnout and its relationship to their perceptions of safety and adverse events. DESIGN A cross-sectional study using the RN4CAST@IT-Ped database with a web-based survey design. METHODS The RN4CAST@IT-Ped questionnaire was used to collect data in 2017. This comprised three main components: three dimensions (22 items) of the Maslach Burnout Inventory including emotional exhaustion, depersonalization and personal accomplishment. Participants also scored an overall grade of patient safety and estimated the occurrence of adverse clinical events. RESULTS Nurses (N = 2,243) reported high levels of burnout. Most rated clinical safety as high. The risk of adverse events ranged from 1.3-12.4%. The degree of burnout appeared to influence the perception of safety and adverse events. CONCLUSION The association between nurses' burnout and perceptions of higher rates of adverse events and reduced safety in clinical practice is an important finding. However, it is unclear whether this was influenced by a negative state of mind, and whether reduced safety and increased adverse events negatively influenced nurses' well-being, thus leading to burnout. Regardless, the association between nurses' burnout and these quality concepts needs further exploration to examine the effect, if any, on burnout and safety, and identify supportive mechanisms for nurses. IMPACT The association between reported burnout and perception of safety and risk of adverse events in Italian paediatric nurses has been reported for the first time. Nurses reporting burnout are at greater risk of intensely negative perceptions of clinical safety and adverse events. This is an important finding as perceptions can influence practice and behaviours. Quality measures in children's clinical environments need to go beyond obvious indicators to examine nurses' well-being as this also influences quality and safety.
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Affiliation(s)
| | - Nicoletta Dasso
- Department of Health Sciences, University of Genoa, Genoa, Italy
| | - Silvia Rossi
- Department of Health Sciences, University of Genoa, Genoa, Italy
| | - Fiona Timmins
- School of Nursing and Midwifery, Trinity College Dublin, Dublin 2, Ireland
| | - Roger Watson
- Faculty of Health and Social Care, University of Hull, Hull, UK
| | - Giuseppe Aleo
- Department of Health Sciences, University of Genoa, Genoa, Italy
| | - Gianluca Catania
- Department of Health Sciences, University of Genoa, Genoa, Italy
| | - Milko Zanini
- Department of Health Sciences, University of Genoa, Genoa, Italy
| | - Loredana Sasso
- Department of Health Sciences, University of Genoa, Genoa, Italy
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Bagnasco A, Zanini M, Dasso N, Rossi S, Timmins F, Galanti MC, Aleo G, Catania G, Sasso L. Dignity, privacy, respect and choice-A scoping review of measurement of these concepts within acute healthcare practice. J Clin Nurs 2020; 29:1832-1857. [PMID: 32220088 DOI: 10.1111/jocn.15245] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2019] [Revised: 01/23/2020] [Accepted: 03/12/2020] [Indexed: 12/16/2022]
Abstract
AIMS AND OBJECTIVES To synthesise and review literature related to instruments that measure psychosocial aspects of fundamental care in acute hospital care settings. BACKGROUND Psychosocial aspects of care often receive less priority in terms of care provision in acute care environments. At the same time, if these elements are overlooked, there may be consequences. Despite the availability of many instruments designed to measure specific aspects of care, these concepts are often not studied within the broader context of fundamentals of care, but rather coexist as isolated explorations of specific subelements. DESIGN A scoping review was conducted, based on Arksey & O'Malley's (2005) methodological framework and following the PRISMA checklist. METHODS Using the five recommended steps-identifying the research question; identifying relevant studies; study selection; charting the data; and summarising and reporting the results-three databases were searched: MEDLINE/PubMed, CINAHL and EMBASE, in February 2019. RESULTS Following independent screening by two of the authors, 48 papers were included. From these 48 papers, 33 instruments were identified. Only five of these tools thoroughly assessed psychosocial aspects elements of care (dignity, respect, privacy and patients' choice) through dedicated items. CONCLUSIONS This review provides nurses with a synthesis of 33 instruments that assess the psychosocial aspects of care. This provides an important resource to guide measurement of dignity, respect, privacy and patients' choice. The findings also provide guidance to future research in this field. RELEVANCE TO CLINICAL PRACTICE This paper reviews and synthesises these instruments to provide a resource to nurses to inform their decisions and practice around measurement and evaluation of these key aspects of care. This provides a useful guide to measure and monitor the improvement of fundamental care delivery in practice and points to strengths and weaknesses of the instruments concerned.
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Affiliation(s)
| | - Milko Zanini
- Department of Health Sciences, University of Genoa, Genoa, Italy
| | - Nicoletta Dasso
- Department of Health Sciences, University of Genoa, Genoa, Italy
| | - Silvia Rossi
- Department of Health Sciences, University of Genoa, Genoa, Italy
| | - Fiona Timmins
- School of Nursing and Midwifery, Trinity College Dublin, Dublin, Ireland
| | | | - Giuseppe Aleo
- Department of Health Sciences, University of Genoa, Genoa, Italy
| | - Gianluca Catania
- Department of Health Sciences, University of Genoa, Genoa, Italy
| | - Loredana Sasso
- Department of Health Sciences, University of Genoa, Genoa, Italy
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Bagnasco A, Aleo G, Timmins F, Catania G, Zanini M, Brady AM, Sasso L. The potential contribution of mixed-method research to critical care nursing. Nurs Crit Care 2020; 24:113-114. [PMID: 31074551 DOI: 10.1111/nicc.12431] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022]
Affiliation(s)
- Annamaria Bagnasco
- Associate Professor of Nursing, Department of Health Sciences, University of Genoa, Genoa, Italy
| | - Giuseppe Aleo
- Research Fellow and Lecturer, Department of Health Sciences, University of Genoa, Genoa, Italy
| | - Fiona Timmins
- Associate Professor of Nursing, Director of Post Graduate Teaching and Learning, School of Nursing and Midwifery, Trinity College Dublin, Dublin, Ireland
| | - Gianluca Catania
- Assistant Professor and Researcher, Department of Health Sciences, University of Genoa, Genoa, Italy
| | - Milko Zanini
- Assistant Professor and Researcher, Department of Health Sciences, University of Genoa, Genoa, Italy
| | - Anne-Marie Brady
- Professor of Chronic Illness, Head of School, School of Nursing and Midwifery, Trinity College Dublin, Dublin, Ireland
| | - Loredana Sasso
- Full Professor of Nursing, Department of Health Sciences, University of Genoa, Genoa, Italy
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Bagnasco A, Timmins F, Aleo G, Catania G, Zanini M, Sasso L. The need to develop competencies for Patient Therapeutic Education in nurse education and practice through cross border conversations. Nurse Educ Pract 2020; 44:102761. [DOI: 10.1016/j.nepr.2020.102761] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2019] [Revised: 02/29/2020] [Accepted: 03/04/2020] [Indexed: 10/24/2022]
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Bagnasco A, Dasso N, Rossi S, Timmins F, Aleo G, Catania G, Zanini M, Sasso L. A qualitative descriptive inquiry of the influences on nurses' missed care decision-making processes in acute hospital paediatric care. J Nurs Manag 2020; 28:1929-1939. [PMID: 31845542 DOI: 10.1111/jonm.12935] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2019] [Revised: 11/29/2019] [Accepted: 12/12/2019] [Indexed: 12/13/2022]
Abstract
AIM To explore influences on nurses' missed care decision-making processes in acute hospital paediatric care. BACKGROUND Many contemporary studies describe the phenomenon of missed care. It is clear that environment and organizational culture influence the nursing activities; however, what influences their decision-making processes has not been investigated. METHOD A descriptive qualitative inquiry was performed using semi-structured interviews with paediatric nurses (n = 20) from one Italian paediatric hospital. FINDINGS Thematic analysis revealed four themes: nurses' value system; hospital logistics, structures and resources; prioritization processes; and the informal caregiver's role. CONCLUSION This paper offers insights into the various factors involved in nurses' decision-making process when contemplating missed care that will be of use to managers when planning care or addressing missed care in the paediatric clinical setting. IMPLICATIONS FOR NURSING MANAGEMENT Knowledge and awareness of missed care in children's nursing needs greater exploration, especially in relation to what influences nurses' decision-making choices around missed care. Overall, a greater understanding of this will help managers to manage situations effectively and ethically so that missed care does not impact on outcomes for children in health care.
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Affiliation(s)
| | - Nicoletta Dasso
- Department of Health Sciences, University of Genoa, Genoa, Italy
| | - Silvia Rossi
- Department of Health Sciences, University of Genoa, Genoa, Italy
| | - Fiona Timmins
- School of Nursing and Midwifery, Trinity College Dublin, Dublin, Italy
| | - Giuseppe Aleo
- Department of Health Sciences, University of Genoa, Genoa, Italy
| | - Gianluca Catania
- Department of Health Sciences, University of Genoa, Genoa, Italy
| | - Milko Zanini
- Department of Health Sciences, University of Genoa, Genoa, Italy
| | - Loredana Sasso
- Department of Health Sciences, University of Genoa, Genoa, Italy
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Bagnasco A, Rossi S, Dasso N, Cananzi L, Timmins F, Aleo G, Catania G, Zanini M, Sasso L. A qualitative descriptive enquiry of nursing students' perceptions of international clinical placement experiences. Nurse Educ Pract 2020; 43:102705. [PMID: 32001429 DOI: 10.1016/j.nepr.2020.102705] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2018] [Revised: 10/28/2019] [Accepted: 01/17/2020] [Indexed: 12/18/2022]
Abstract
International mobility for nursing students is still a relatively new phenomenon. While educators and students are both excited by the opportunity that mobility presents, there are often many challenges inherent within third level organisations and practice organisations. These obstacles not only serve to make international mobility arrangements complex to manage but also mean that these opportunities are only available to very small numbers of students. Furthermore the benefits of undergraduate international exchanges remain largely anecdotal and the elements that facilitate success are not entirely clear. To address these issues, a qualitative study was conducted to identify the elements that characterize a nursing student's successful learning during international clinical placement. Semi-structured interviews were carried out with six students who had completed their international clinical placements experiences in Portugal, Spain, and Italy. Three common themes emerged from the data analysis: relationship with institutions and countries, student's thoughts and feelings and learning outcomes and the role of the nursing student's clinical supervisor. These themes contain seven sub-categories, representing the characterizing elements of the student's experience of mobility in the foreign country. These results are useful to nurse educators internationally to inform clinical learning experiences within exchange programmes.
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Affiliation(s)
| | - Silvia Rossi
- Department of Health Sciences, University of Genoa, Genoa, Italy
| | - Nicoletta Dasso
- Department of Health Sciences, University of Genoa, Genoa, Italy
| | - Letizia Cananzi
- Department of Health Sciences, University of Genoa, Genoa, Italy
| | - Fiona Timmins
- School of Nursing and Midwifery, Trinity College Dublin, 24 D'Olier Street, Dublin 2, Italy.
| | - Giuseppe Aleo
- Department of Health Sciences, University of Genoa, Genoa, Italy.
| | - Gianluca Catania
- Department of Health Sciences, University of Genoa, Genoa, Italy
| | - Milko Zanini
- Department of Health Sciences, University of Genoa, Genoa, Italy
| | - Loredana Sasso
- Department of Health Sciences, University of Genoa, Genoa, Italy
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Bagnasco A, Watson R, Barisone M, Pellegrini R, Timmins F, Aleo G, Bressan V, Cadorin L, Dasso N, Valcarenghi D, Catania G, Zanini M, Sasso L. [The development of nursing research ten years after the establishment of PhD Schools of Nursing in Italy]. Prof Inferm 2019; 72:165-170. [PMID: 31883567 DOI: 10.7429/pi.2019.723165] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
INTRODUCTION In Italy, the nursing doctoral programs were established in 2006, and after ten years we though it would be important to understand how nursing research in Italy has developed thanks to its four doctoral schools of nursing. Our research question was: How have the Italian doctoral schools of nursing contributed to the development of nursing research in the last ten years? METHODS A national descriptive observational was conducted to collect all the publications made by the four nursing doctoral schools in Florence, Genoa, L'Aquila, and Rome between 2006 and 2015. For the enrolment of the participants, an online survey was sent to the e-mail address of each student provided by the reference University. The publications collected through the CVs of the current and former doctoral students were then checked against Web Science. The publication trends were analysed considering the type of journal, the Impact Factor (IF), and the topics. RESULTS A total of 478 papers published between 2006-2015 were retrieved, of which 226 (47.59%) were published in Italian journals and 250 (52,41%) on international journals. The great majority of the papers (59,21%) were published in 30 journals, of which 15 had an Impact Factor (range 0.236 - 3.755). The main topics were clinical care, research methods, education, management, ethics, and policies. CONCLUSIONS Between 2006 and 2015, Italy has produced nursing knowledge and scientific data that can be used to improve the quality of care and facilitate discussions with health policy decision-makers in order to better address the incumbent heath challenges of the near future.
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Affiliation(s)
- Annamaria Bagnasco
- Associate Professor in Nursing science, Department of Health Sciences, University of Genoa. Corrispondence:
| | - Roger Watson
- Professor of Nursing, Faculty of Health and Social Care University of Hull. Corrispondence:
| | | | | | - Fiona Timmins
- Associate Professor of Nursing, School of Nursing and Midwifery, Trinity College Dublin, Ireland
| | - Giuseppe Aleo
- Research Fellow, Health Science Department, University of Genoa
| | - Valentina Bressan
- University Department of Otolaryngology Head Neck Surgery Hospital Santa Maria della Misericordia, Azienda Sanitaria Universitaria Integrata di Udine Italia
| | | | | | - Dario Valcarenghi
- Oncology Institute of Southern Switzerland San Giovanni Hospital, Bellinzona Svizzera
| | - Gianluca Catania
- Ricercatore e Senior Lecturer, Dipartimento di Scienze della Salute Università di Genova Senior Fellow at the Center for Health Outcomes and Policy, Research, School of Nursing, University of Pennsylvania USA
| | - Milko Zanini
- Ricercatore e Senior Lecturer, Health Science Department, Università di Genova, Italia
| | - Loredana Sasso
- Full Professor, Health Science Department, Università di Genova, Italia
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Bagnasco A, Dasso N, Rossi S, Galanti C, Varone G, Catania G, Zanini M, Aleo G, Watson R, Hayter M, Sasso L. Unmet nursing care needs on medical and surgical wards: A scoping review of patients’ perspectives. J Clin Nurs 2019; 29:347-369. [DOI: 10.1111/jocn.15089] [Citation(s) in RCA: 22] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2019] [Revised: 09/13/2019] [Accepted: 10/20/2019] [Indexed: 11/30/2022]
Affiliation(s)
| | - Nicoletta Dasso
- Department of Health Sciences University of Genoa Genoa Italy
| | - Silvia Rossi
- Department of Health Sciences University of Genoa Genoa Italy
| | | | - Gloria Varone
- Department of Interventional Radiology IRCCS Ospedale Policlinico San Martino Genoa Italy
| | | | - Milko Zanini
- Department of Health Sciences University of Genoa Genoa Italy
| | - Giuseppe Aleo
- Department of Health Sciences University of Genoa Genoa Italy
| | - Roger Watson
- Faculty of Health and Social Care University of Hull Hull UK
| | - Mark Hayter
- Faculty of Health and Social Care University of Hull Hull UK
| | - Loredana Sasso
- Department of Health Sciences University of Genoa Genoa Italy
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Bagnasco A, Hayter M, Rossi S, Zanini MP, Pellegrini R, Aleo G, Catania G, Sasso L. Experiences of participating in intergenerational interventions in older people's care settings: A systematic review and meta-synthesis of qualitative literature. J Adv Nurs 2019; 76:22-33. [PMID: 31566788 DOI: 10.1111/jan.14214] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2019] [Revised: 08/07/2019] [Accepted: 09/17/2019] [Indexed: 11/27/2022]
Abstract
AIMS To synthesize the findings of qualitative research exploring the experiences of being involved in intergenerational interventions in older people's care settings. DESIGN A meta-synthesis of the qualitative literature, employing Sandelowski and Barroso's method, was conducted. DATA SOURCES Eight databases were searched in March 2017. REVIEW METHODS The PRISMA statement was used for reporting the different phases of the literature search and the Critical Appraisal Skills Programme (CASP) qualitative research checklist was used as an appraisal framework. Data synthesis was conducted using Sandelowski and Barroso's method. RESULTS Four qualitative studies were included in the meta-synthesis. Thematic analysis revealed four themes: 'Recreating the family'; 'Building intergenerational empathy and respect'; 'Uplifting and energizing'; and 'Engagement risks and challenges'. CONCLUSION The meta-synthesis strengthens the evidence that intergenerational interventions can be positive. However, it also shows that there may also be some negative aspects if not planned or managed carefully. IMPACT This review contributes to the body of evidence by synthesizing the experiences of older people and children involved in intergenerational interventions. Although qualitative literature supports the quantitative evidence that intergenerational interventions can have a positive effect, intergenerational interventions could also have negative effects on some participants. Older people may feel tired, or experience feelings of infantilization. Practitioners need to be more aware of the potential negative effects of intergenerational interventions and include risk assessment, possibly by requiring ethical scrutiny.
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Affiliation(s)
- Annamaria Bagnasco
- Department of Health Sciences, Università degli Studi di Genova, Genoa, Italy
| | - Mark Hayter
- School of Health & Social Work, University of Hull, Hull, UK
| | - Silvia Rossi
- Department of Health Sciences, Università degli Studi di Genova, Genoa, Italy
| | - Milko P Zanini
- Department of Health Sciences, Università degli Studi di Genova, Genoa, Italy
| | - Ramona Pellegrini
- Department of Health Sciences, Università degli Studi di Genova, Genoa, Italy
| | - Giuseppe Aleo
- Department of Health Sciences, Università degli Studi di Genova, Genoa, Italy
| | - Gianluca Catania
- Department of Health Sciences, Università degli Studi di Genova, Genoa, Italy
| | - Loredana Sasso
- Department of Health Sciences, Università degli Studi di Genova, Genoa, Italy
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Rossi S, Bagnasco A, Barisone M, Bianchi M, Bressan V, Timmins F, Pellegrini R, Aleo G, Sasso L. Research awareness among children's nurses: An integrative review. J Clin Nurs 2019; 29:290-304. [PMID: 31532047 DOI: 10.1111/jocn.15068] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2018] [Revised: 08/12/2019] [Accepted: 08/18/2019] [Indexed: 11/30/2022]
Abstract
BACKGROUND Developing nursing research skills, awareness and research utilisation are important for improving healthcare outcomes and are key to ensuring the full understanding and knowledge base necessary for optimal delivery of care. Nevertheless, little is known about research awareness in children's nurses. AIMS AND OBJECTIVES To address this issue, an integrative literature review was conducted for studies published between January 2007 and January 2017 to obtain up-to-date evidence about the extent of research awareness and utilisation among children's nurses. METHODS Using PubMed, Cochrane Library, ILISI and CINAHL databases, 21 studies related to children's nurses' research awareness were included in the final review, which was later developed and structured in keeping with PRISMA checklist and guidelines. CONCLUSIONS The studies isolated show that nurses' knowledge about and utilisation of research vary and that there are many existent barriers to and facilitators of evidence-based practice in the paediatric setting. Some studies report that introducing a cultural and/or change in clinical practice change to improve research utilisation can have positive impacts on healthcare outcomes and the quality of nursing care of children. It is recommended that structured approaches to improving research utilisation be considered and additional research is needed to explore the benefits of these approaches. RELEVANCE TO CLINICAL PRACTICE Despite more than three decades of the evidence-based practice movement within nursing, barriers still exist among children's nurses in the use of research in practice. If the use of research to improve the delivery of children's nursing care is to become a reality, then nurses' research awareness needs to improve to underpin care delivery with optimal evidence in a cohesive informed manner.
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Affiliation(s)
- Silvia Rossi
- Department of Health Sciences, University of Genoa, Genoa, Italy
| | | | - Michela Barisone
- Department of Health Sciences, University of Genoa, Genoa, Italy
| | - Monica Bianchi
- Department of Business Economics, Health and Social Care, University of Applied Science and Arts of Southern Switzerland, Manno, Switzerland
| | - Valentina Bressan
- Department of Medical Sciences, School of Nursing, University of Udine, Udine, Italy
| | - Fiona Timmins
- School of Nursing and Midwifery, Trinity College Dublin, Dublin, Ireland
| | | | - Giuseppe Aleo
- Department of Health Sciences, University of Genoa, Genoa, Italy
| | - Loredana Sasso
- Department of Health Sciences, University of Genoa, Genoa, Italy
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Catania G, Dal Molin A, Diaz N, Bagnasco A, Zanini M, Aleo G, Grosso D, Montalti S, Caldara C, Sperlinga R, Lacamera A, Zeneli A, Sasso L. Quality of informed consent in clinical trials patients. Ann Oncol 2019. [DOI: 10.1093/annonc/mdz274.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Bagnasco A, Aleo G, Timmins F, Begley T, Parissopoulos S, Sasso L. The need for consistent family-centred support for family and parents of children admitted to paediatric intensive care unit. Nurs Crit Care 2019; 22:327-328. [PMID: 29164785 DOI: 10.1111/nicc.12327] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- Annamaria Bagnasco
- Associate Professor of and Nursing and Education Coordinator, Department of Health Sciences, University of Genoa, Genoa, Italy
| | - Giuseppe Aleo
- Lecturer of Scientific English, Department of Health Sciences, University of Genoa, Unità Operativa Formazione e Aggiornamento, Genoa, Italy
| | - Fiona Timmins
- Associate Professor of Nursing, School of Nursing and Midwifery, Trinity College Dublin, Ireland
| | - Thelma Begley
- Assistant Professor, School of Nursing and Midwifery, Trinity College Dublin, Ireland
| | - Stelios Parissopoulos
- Social Anthropologist, Lecturer of Nursing, Department of Nursing, Technological Educational Institute (T.E.I.) of Athens, Greece
| | - Loredana Sasso
- Associate, Professor of Nursing, Department of Health Sciences, University of Genoa, Genoa, Italy
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Aleo G, Bagnasco A, Watson R, Dyson J, Cowdell F, Catania G, Zanini MP, Cozzani E, Parodi A, Sasso L. Comparing questionnaires across cultures: Using Mokken scaling to compare the Italian and English versions of the MOLES index. Nurs Open 2019; 6:1022-1028. [PMID: 31367427 PMCID: PMC6650700 DOI: 10.1002/nop2.297] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2018] [Revised: 02/20/2019] [Accepted: 03/18/2019] [Indexed: 11/29/2022] Open
Abstract
AIM The aims of this study were (a) to translate the MOLES index from English to Italian and (ii) to compare the two versions using non-parametric item response theory. DESIGN An online survey was used to gather data. METHODS Forward and back translation was used to prepare the Italian version of the MOLES which was then analysed using the non-parametric item response theory of Mokken scaling. RESULTS Mokken scales were found in both the English and the Italian versions of the MOLES index. However, the two scales-while the total scale score was not significantly different-showed different properties, and Mokken scaling selected different items from each scale.
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Affiliation(s)
- Giuseppe Aleo
- Department of Health SciencesUniversity of GenoaGenoaItaly
| | | | - Roger Watson
- Faculty of Health SciencesUniversity of HullHullUK
| | - Judith Dyson
- Faculty of Health SciencesUniversity of HullHullUK
| | - Fiona Cowdell
- School of Nursing and MidwiferyUniversity of BirminghamBirminghamUK
| | | | | | | | - Aurora Parodi
- Department of Health SciencesUniversity of GenoaGenoaItaly
| | - Loredana Sasso
- Department of Health SciencesUniversity of GenoaGenoaItaly
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Sasso L, Watson R, Barisone M, Pellegrini R, Timmins F, Aleo G, Bressan V, Bianchi M, Cadorin L, Dasso N, Valcarenghi D, Catania G, Zanini M, Bagnasco A. The contribution of nursing doctoral schools to the development of evidence 10 years after their establishment in Italy: An exploratory descriptive survey of former and current doctoral students' publications. Nurs Open 2019; 6:745-753. [PMID: 31367396 PMCID: PMC6650791 DOI: 10.1002/nop2.262] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2017] [Revised: 06/26/2018] [Accepted: 08/29/2018] [Indexed: 11/18/2022] Open
Abstract
AIM To analyse through an exploratory descriptive survey how former and current doctoral students' publications have contributed to the development of evidence between the establishment of the doctoral schools of nursing in 2006-2015. DESIGN An exploratory descriptive survey. METHODS We analysed the papers published in peer-reviewed journals by the four Italian PhD Schools of Nursing between 2006-2015. Additional missing information was retrieved from Web of Science. RESULTS We identified 478 scientific papers. The papers increased from 12 in 2006-110 in 2015. Most are published in 29 journals, of which 15 had an impact factor ranging between 0.236-3.755. These results show the increasingly significant contribution of nursing doctoral programmes to the production of evidence, which can be used to improve the quality of nursing and inform health policies. Nursing doctoral schools deserve a greater recognition, especially by Italian funding agencies and political institutions.
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Affiliation(s)
- Loredana Sasso
- Department of Health SciencesUniversity of GenoaGenoaItaly
| | - Roger Watson
- Faculty of Health and Social CareUniversity of HullHullUK
| | | | | | - Fiona Timmins
- School of Nursing and MidwiferyTrinity College DublinDublinIreland
| | - Giuseppe Aleo
- Department of Health SciencesUniversity of GenoaGenoaItaly
| | - Valentina Bressan
- Department of Otolaryngology/Head & Neck SurgeryUniversity Hospital Santa Maria della Misericordia, Azienda Sanitaria Universitaria Integrata di UdineUdineItaly
| | - Monica Bianchi
- University of Applied Sciences and Arts of Southern SwitzerlandDepartment of Business Economics, Health and Social Care Stabile Piazzetta Via ViolinoMannoSwitzerland
| | | | | | - Dario Valcarenghi
- Oncology Institute of Southern SwitzerlandSan Giovanni HospitalBellinzonaSwitzerland
| | - Gianluca Catania
- Department of Health SciencesUniversity of GenoaGenoaItaly
- School of NursingUniversity of PennsylvaniaPhiladelphiaPennsylvania
| | - Milko Zanini
- Department of Health SciencesUniversity of GenoaGenoaItaly
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Sasso L, Bagnasco A, Catania G, Zanini M, Aleo G, Watson R. Push and pull factors of nurses' intention to leave. J Nurs Manag 2019; 27:946-954. [PMID: 30614593 DOI: 10.1111/jonm.12745] [Citation(s) in RCA: 112] [Impact Index Per Article: 22.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2018] [Revised: 12/11/2018] [Accepted: 01/02/2019] [Indexed: 11/28/2022]
Abstract
AIM To expand knowledge about the predictive factors of nurses' intention to leave their job and consequently to turnover. BACKGROUND Nurse turnover is costly and negatively influences quality of care. Understanding the association between intention to leave and modifiable features of hospital organisation may inform strategies to reduce turnover. METHODS A cross-sectional survey of 3,667 medical and surgical nurses was conducted in Italy. Measures included intention to leave; work environment; burnout; job satisfaction; and missed care using the RN4CAST instruments. Descriptive, logistic regression analysis was used. RESULTS Due to job dissatisfaction, 35.5% of the nurses intended to leave their current job, and of these, 33.1%, the nursing profession. Push factors included the following: understaffing, emotional exhaustion, poor patient safety, performing non-nursing care and being male. Pull factors included the following: positive perception of quality and safety of care, and performing core nursing activities. CONCLUSION The present study expands knowledge about the predictive factors of nurses' intention to leave their job and consequently to turnover, which is one of today's major issues contributing to the shortage of nurses. IMPLICATIONS FOR NURSING MANAGEMENT Nurses' intention to leave their job is the consequence of a poor work environment, characterized by factors such as understaffing and performance of non-nursing activities.
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Affiliation(s)
- Loredana Sasso
- Department of Health Sciences, University of Genoa, Genoa, Italy
| | | | - Gianluca Catania
- Department of Health Sciences, University of Genoa, Genoa, Italy
| | - Milko Zanini
- Department of Health Sciences, University of Genoa, Genoa, Italy
| | - Giuseppe Aleo
- Department of Health Sciences, University of Genoa, Genoa, Italy
| | - Roger Watson
- Faculty of Health Sciences, University of Hull, Hull, UK
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Bagnasco A, Zanini M, Catania G, Aleo G, Sermeus W, Sasso L. Implications of a wide-scale educational intervention to engage nurses in evidence-based practice: The Italian RN4CAST experience. Nurs Forum 2019; 54:183-191. [PMID: 30628738 DOI: 10.1111/nuf.12313] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
BACKGROUND In Italy, there are still many barriers to the development of a culture of evidence-based practice (EBP) and nurses' knowledge of EBP is lacking. Additionally, in Italy there are still very few advanced practice registered nurses to significantly contribute to the development of EBP. AIM This aims to identify the implications of a wide-scale nursing education intervention to engage clinical nurses in EBP through the Italian RN4CAST study. METHODS A qualitative study based on a thematic analysis. A total of 800 clinical nurses actively participated in nine training sessions across Italy. At the end of each training session written feedback data were collected and then underwent thematic analysis. RESULTS All participants were strongly motivated to engage in EBP thanks to their involvement in the RN4CAST project. With regard to the implications of EBP, the thematic analysis produced the following themes: Professional identity; Quality of care; Perceptions of patients and nurses; Research impact; and Organization. CONCLUSIONS The involvement of a large number of clinical nurses in a research project raised their awareness about the advantages of engaging in EBP, and how evidence can be used to raise motivation to change current practice policies.
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Affiliation(s)
| | - Milko Zanini
- Department of Health Sciences, University of Genoa, Genoa, Italy
| | - Gianluca Catania
- Department of Health Sciences, University of Genoa, Genoa, Italy
| | - Giuseppe Aleo
- Department of Health Sciences, University of Genoa, Genoa, Italy
| | - Walter Sermeus
- Department of Public Health & Primary Care, Katholieke Universiteit Leuven, Leuven, Belgium
| | - Loredana Sasso
- Department of Health Sciences, University of Genoa, Genoa, Italy
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Bagnasco A, Dasso N, Rossi S, Timmins F, Aleo G, Catania G, Zanini M, Sasso L. Missed care in children's nursing—An emergent concern. J Adv Nurs 2019; 75:921-923. [DOI: 10.1111/jan.13965] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2019] [Accepted: 01/28/2019] [Indexed: 11/30/2022]
Affiliation(s)
| | - Nicoletta Dasso
- Department of Health Sciences University of Genoa Genova Italy
| | - Silvia Rossi
- Department of Health Sciences University of Genoa Genova Italy
| | - Fiona Timmins
- School of Nursing and Midwifery Studies Dublin Ireland
| | - Giuseppe Aleo
- Department of Health Sciences University of Genoa Genova Italy
| | | | - Milko Zanini
- Department of Health Sciences University of Genoa Genova Italy
| | - Loredana Sasso
- Department of Health Sciences University of Genoa Genova Italy
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Papathanasiou IV, Fradelos EC, Kastanidou S, Tsaras K, Pozzi F, Manganello F, Alvino S, Sasso L, Bagnasco A, Aleo G, Roba I, Yghemonos S, Popa A, Turunen H, Kleisiaris C, Evangelidou E, Daglas A, Rodrigues C, Oertel L, Diab M. Vocational and Educational Training in Family and Community Nursing as a European Priority: The ENhANCE Erasmus+ Project. Aspects for Mental Health Care. Ment Health (Lond) 2019. [DOI: 10.32437/mhgcj.v1i1.27] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2022] Open
Abstract
Concerning community mental health care, current studies’ results have shown many benefits for individuals that are suffering from mental disorders and their families also, of the nursing care that is provided from Family and Community Nurses. According to these results the patient – centered, adequate and continuing nursing care is an essential condition for better health outcomes of chronic mental health disorders, can reduce relapses and hospitalizations, saving significant fund
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