779 research outputs found
Gli interventi educativi per i pazienti con scompenso cardiaco: una sintesi della letteratura
Patient education is recognized as a central component of heart failure care and reduces hospital readmissions. Nurses have an important role in providing patient education and modifying self-care behaviors. The aim of this article is to examine characteristics of educational interventions for heart failure patients, their measured outcomes and the role of nurses in providing education. We conducted a literature review of the last 10 years and considered 30 articles. Multisession motivational interventions, repeated over time and with different follow-up interventions seem to produce the best results. However, some aspects remain controversial
Validity and reliability of the Italian version of the Oral Assessment Guide
Mucositis is a frequent side-effect of chemotherapy and radiotherapy. Assessment of oral cavity is important to
detect alterations in the mouth and plan appropriate interventions. A reliable tool can help to have a better assessment
of mucositis and a major knowledge about this phenomenon. Since no valid and reliable tool for the assessment
of mucositis is still available in Italy, the aim of this study was to establish the validity and reliability of the
Italian version of the Oral Assessment Guide (OAG). A panel of health care experts established the content validity
of the tool both for the items and the descriptors. To establish the reliability of the tool, a sample of 14 inpatients
with haematological diseases were recruited. Couples of dental hygienists separately performed 60 pairs of
assessments (for a total of 120 assessments) on the sample. The Italian version of OAG was found to have an acceptable
Content Validity Index (CVI) for items and related descriptors ranging between 0.67 and 1. Cronbach’s alpha
was 0.84, agreement of assessment ranged between 0.87 and 0.65 with Cohen’s Kappa coefficient ranging from
good to very good. This study showed that the Italian version of the OAG has good psychometric properties of
validity and reliability to assess mucositis in patients undergoing chemotherapy. This tool will have a great importance
to carry out future research in Italy aimed to improve the patient's outcomes particularly in terms of functional
ability and quality of life
Lavagnone (Desenzano del Garda) : new excavations and palaeoecology of a Bronze Age pile dwelling in northern Italy
Lavagnone is a lacustrine basin, today turned into a peat bog, which was continuously settled for about 1,000 years during the Early, Middle and Late Bronze Ages. Since 1991 research has been carried out under the supervision of R. C. de Marinis (Universit\ue0 degli Studi di Milano) in four different areas of the basin in order to reconstruct the features of the settlement and the changes that occurred over the course of time. Palynological and palaeobotanical analyses, taking place since 2002 in cooperation with CNR-IDPA (Milano), are focused on determining the palaeoenvironmental manifestation, both then and now, of the anthropogenic exploitation of the basin
Communication with the public in the health-care system: a descriptive study of the use of social media in Local Health Authorities and public hospitals in Italy
Introduction. In 2010 the Italian Ministry of Health set out recommendations for the use of social technology and Web 2.0, inviting organisations within the Italian national health service (Servizio Sanitario Nazionale, SSN) to equip themselves with instruments. Objectives. 1. to ascertain how many local health authorities (Aziende Sanitarie Locali, ASL) and public hospitals have a presence on the most widely used social media websites in Italy: Facebook, Twitter and YouTube; 2. to find out how well the Facebook, Twitter and YouTube pages of ASLs and public hospitals are known among the general population; 3. to find out how ASLs and public hospitals engage with the general public on social media sites. Materials and methods. The websites of all ASLs and public hospitals across the country were visited to look for the icons of the social media sites under examination. The data considered were publicly available upon access. Results. A total of 245 websites were analysed. 7.34% ASLs and hospitals had social media accounts. 8 organisations had an account on all three of the social media sites considered in the study. Conclusions. The results show a low presence of ASLs and hospitals on social media. Other studies are needed in this field
Passive ocean acoustic tomography: theory and experiment
In this paper the Passive Ocean Acoustic Tomography (P-OAT) methodology is presented. This technique, avoiding the use of a dedicated active sound source, estimates
the sea water temperature spatial distribution from the received noise emitted from ships of opportunity. The feasibility of the proposed methodology has been confirmed both by test-runs on semi-synthetic data and by the use of real acoustic and environmental data collected during INTIMATE00 experiment performed on October 2000 in the Atlantic Ocean off the Portuguese coasts
Development and Validation of a Computerized Assessment Form to Support Nursing Diagnosis
PURPOSE: Describe the development and validation of the Nursing Assessment Form (NAF), within a clinical nursing information system, to support nurses in the identification of nursing diagnoses.
METHODS: Content validity and consensus on NAF contents were established using a panel of experts in nursing diagnosis and Delphi rounds.
FINDINGS: Expert consensus was achieved to validate an instrument to support nurses in the process of nursing diagnoses identification.
CONCLUSIONS: The use of the NAF can help nurses in diagnostic reasoning, facilitating the identification of the more suitable nursing diagnoses, and provide a basis for the best nursing interventions and outcomes.
IMPLICATIONS FOR NURSING PRACTICE:
The use of computerized decision support can improve the implementation of standardized terminology and the accuracy of nursing diagnosis
Continuity of Care During End of Life: An Evolutionary Concept Analysis
PURPOSE: The purpose of this study was to clarify the concept of continuity of
care during the end of life with a focus on the patient’s perspective.
METHODS: Rodgers’ method of evolutionary concept analysis was used. The
analysis was based on literature published in English in the databases Cumulative
Index for Nursing and Allied Health Literature, Medline, and PsycINFO.
FINDINGS: Analysis revealed that the continuity at life’s end is a dynamic process
that depends on the interaction among patients, families, and providers, and is
strictly interwoven with the patient’s time perception.
CONCLUSION: This analysis showed the complexities surrounding the patient’s
experience of continuity at life’s end.
IMPLICATION FOR NURSING: Nurses can benefit from a deeper understanding
of the patient’s experience, both theoretically and in practice
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