Vissuti e strategie di coping di fronte alla morte in oncoematologia pediatrica: studio qualitativo

Introduzione:"ˆLa morte di un paziente in etí  pediatrica provoca ripercussioni sul piano personale, sociale e lavorativo al personale infermieristico che l'ha assistito. Il presente studio qualitativo ha l'obiettivo di indagare i vissuti e le strategie di coping degli infermieri che lavorano in oncoematologia pediatrica di fronte alla morte dei bambini/ragazzi assistiti.Metodo:"ˆE' stato svolto nell'U.O.C. Clinica di Oncoematologia Pediatrica - Azienda Ospedaliera di Padova, intervistando gli infermieri senza vincoli di sesso, etí , formazione o anni di attivití  presso la struttura, tramite una griglia per la rilevazione di dati socio-demografici ed un'intervista semi-strutturata.Risultati: Sono stati intervistati 36 (72%) infermieri (etí  compresa tra 24 e 57 anni). La morte di un paziente provoca emozioni e sensazioni: impotenza, rabbia, identificazione con i genitori, tristezza e disorientamento per l'incapacití  di trovare spiegazione alla morte del bambino. Tra le strategie di coping utilizzate prevale la volontí  di sfogarsi.Conclusioni: La morte in oncologia pediatrica è un evento le cui ripercussioni sul personale infermieristico non devono essere sottovalutate, poiché rappresentano una fonte di stress emotivo per la mancanza di supporti adeguati e di formazione sufficiente.Keywords: vissuti di morte, strategie di coping, infermieri, oncologia pediatrica, nursing burnout, studio qualitativo. Parole chiave: esperienze di morte, strategie di coping, infermieri, oncologia pediatrica, burnout infermieristico, studio qualitativo.Experiences and coping strategies of nurses in the face of death in pediatric hematology: qualitative studyIntroduction:"ˆThe death of a pediatric patient causes personal, social and work-related repercussions on nursing staff who have witnessed it. The objective of this qualitative study is to investigate the experiences and the coping strategies of nurses working in pediatric oncoematology before the deaths of assisted children/adolescents.Method: It has been placed in the Pediatric Oncoematology Clinic - Padua Hospital. Nurses without considering sex, age, training or years of activity at the clinic were interview using a socio-demographic data collection board and a semi-structured interview. Results:"ˆ36 (72%) nurses (between 24 and 57 years) were interviewed. The death of a patient causes emotions and feelings: impotence, anger, identification with parents, sadness and disorientation for the inability to find explanation for the death of the child. Among the coping strategies used prevail the will to vent.Conclusion:"ˆDeath in pediatric oncology is an event whose repercussions on nursing staff should not be underestimated as they are a source of emotional stress due to lack of adequate support and adequate training.Keywords: death experiences, coping strategies, nurses, pediatric oncology, nursing burnout, qualitative study

The economic value of human milk from three cohort studies in Friuli Venezia Giulia, Italy

Abstract Background The Mothers’ Milk Tool, developed and launched by the Australian National University and Alive & Thrive in 2022, allows to estimate the volume and value of breastmilk using prevalence rates of breastfeeding by month of age from birth to 36 months. The objective of this study was to obtain these estimates for three cohort studies conducted in a region of Italy. Methods Breastfeeding data from three cohort studies carried out in 1999, 2007 and 2016, with follow-up to 12, 24 and 36 months of 842, 400 and 265 children, respectively, were entered into the downloadable version of the tool. Breastfeeding rates charts and tables with estimates of breastmilk production and value for breastfeeding of children aged 0–36 months were produced. Results The rates of initiation of breastfeeding were similar in the three cohorts, while the rates of any breastfeeding at subsequent ages increased over the years. The volumes and values of breastmilk per child increased accordingly, from around 130 L (13,000 USD) in 1999, to 200 L (20,000 USD) in 2007, to 226 L (22,600 USD) in 2016. The percentage of lost breastmilk decreased from 67.7% to 55.4% to 43.7%, respectively. Overall, the 1507 mothers of the three cohorts produced an estimated 250,000 L of breastmilk for their children aged 0–36 months. At 100 USD per litre, this would add up to around 25 million USD. Conclusions Our study shows that the Mothers’ Milk Tool can be used to estimate per child volumes and values of breastmilk produced and lost at local levels, and to provide simple indicators of the effects of breastfeeding interventions using the percentage of lost breastmilk, where datasets on rates of breastfeeding by month of age are available. The results of such studies can be used to advocate for better and adequately funded programmes for the protection, promotion and support of breastfeeding

Parental presence in Italian pediatric intensive care units: a reappraisal of current visiting policies

Parental presence in Italian pediatric intensive care units: a reappraisal of current visiting policie