Nursing students' interprofessional educational experiences in the clinical context: findings from an Italian cross-sectional study

To explore nursing students' interprofessional educational (IPE) experiences during their most recent clinical rotation and to explore the factors supporting IPE experiences

Nursing students' involvement in shift-to-shift handovers: Findings from a national study

Background Effective performance of clinical handovers should be one of the priorities of nursing education to promote efficient communication skills and ensure patient safety. However, to date, no studies have explored to what extent nursing students are involved in handovers. Objective To explore nursing students' handover involvement during their clinical rotations and associated factors. Method This was a secondary analysis of a large national cross-sectional study that involved 9607 undergraduate nursing students in 27 universities across 95 three-year Italian baccalaureate nursing programs. The involvement in the clinical handovers was the end point (from 0, never, to 3, always). A path analysis was performed to identify variables directly and indirectly affecting students' handover involvement. Results Handover involvement was reported as \u2018only a little\u2019, \u2018to some extent\u2019, and \u2018always\u2019 by 1739 (18.1%), 2939 (30.6%), and 4180 (43.5%) students, respectively; only 749 (7.8%) of students reported never being involved. At the path analysis explaining the 19.1% of variance of nursing students' involvement, some variables emerged that directly increased the likelihood of being involved in handovers. These were being female (\u3b2\u202f=\u202f0.115, p\u202f<\u202f0.001); having children (\u3b2\u202f=\u202f0.107, p\u202f=\u202f0.011); being a 3rd-year student (\u3b2\u202f=\u202f0.142, p\u202f<\u202f0.001) and being a 2nd-year student as compared to a 1st-year student (\u3b2\u202f=\u202f0.050, p\u202f=\u202f0.036); and having a longer clinical rotation (\u3b2\u202f=\u202f0.015, p\u202f<\u202f0.001) in units with high \u2018quality of the learning environment\u2019 (\u3b2\u202f=\u202f0.279, p\u202f<\u202f0.001). Moreover, students who were supervised by the nurse teacher (\u3b2\u202f=\u202f 120.279, p\u202f<\u202f0.001), or by a nurse on a daily basis (\u3b2\u202f=\u202f 120.253, p\u202f=\u202f0.004), or by the staff (\u3b2\u202f=\u202f 120.190, p\u202f<\u202f0.001) reported being less involved in handovers as compared to those students supervised by a clinical nurse. Variables with indirect effects also emerged (model of student's supervision adopted at the unit level, and number of previous clinical rotations attended by students). Moreover, handover involvement explained 11.5% of students self-reported degree of competences learned during the clinical experience. Conclusions Limiting students' opportunity to be involved in handover can prevent the development of communication skills and the professional socialization processes. Strategies at different levels are needed to promote handover among undergraduate nursing students

Nursing students' interprofessional educational experiences in the clinical context: findings from an Italian cross-sectional study

To explore nursing students' interprofessional educational (IPE) experiences during their most recent clinical rotation and to explore the factors supporting IPE experiences

Is the dissociative experiences scale able to identify detachment and compartmentalization symptoms? Factor structure of the dissociative experiences scale in a large sample of psychiatric and nonpsychiatric subjects

Background: In this study, we explored the ability of the Dissociative Experiences Scale (DES) to catch detachment and compartmentalization symptoms. Participants and methods: The DES factor structure was evaluated in 768 psychiatric patients (546 women and 222 men) and in 2,403 subjects enrolled in nonpsychiatric settings (1,857 women and 546 men). All participants were administered the Italian version of DES. Twenty senior psychiatric experts in the treatment of dissociative symptoms independently assessed the DES items and categorized each of them as follows: “C” for compartmentalization, “D” for detachment, and “NC” for noncongruence with either C or D. Results: Confirmatory factor analysis supported the three-factor structure of DES in both clinical and nonclinical samples and its invariance across the two groups. Moreover, factor analyses results overlapped with those from the expert classification procedure. Conclusion: Our results showed that DES can be used as a valid instrument for clinicians to assess the frequency of different types of dissociative experiences including detachment and compartmentalizatio

A national study of nursing homes as learning environments according to undergraduate nursing student's perspective

Nursing students report care of the older people as an undesirable career pathway. Positive clinical placement experiences influence students' attitudes and career intentions with respect to nursing home (NH) setting. The clinical environment's quality depends on meaningful learning opportunities, the relationship with the preceptors, and the pedagogical atmosphere as influenced by the staff-student interactions

Nursing students' experience of the mental health setting as a clinical learning environment: Findings from a national study

To explore nursing students' perceptions of their clinical learning experiences in the mental health (MH) setting

A Nationwide Italian Cross-sectional Study on Nursing Students' Perceived Workplace Safety During Clinical Practice

Nursing students' perception of a safe clinical working environment may impact the development of professional skills and progression in the profession

Environmental factors influencing deposition and preservation of laminated sediments in Edisto Inlet, western Ross Sea (Antarctica)

Laminated diatomaceous deposits have been documented in some regions of Antarctica, including the Antarctic Peninsula and the Ross Sea. In general, very high sedimentation rates can overwhelm limited bioturbation, thus favoring the varve preservation, for example, in certain glacio-marine environments. The laminated sediments collected in the Edisto Inlet, western Ross Sea, exhibited well-defined dark and light laminae on a mm- to cm-scale. Dark laminae contained relatively high concentrations of a biomarker for fast ice, IPSO25, while low IPSO25 concentrations characterized the light laminae, and the diatom Corethron pennatum became the dominant species. Based on these assumptions, the dynamics of fast ice was reconstructed over the last 2.6 ka for the western Ross Sea. However, the absence of direct observations leaves the paleoclimatic and paleoceanographic interpretation of these laminated sediments with a certain degree of uncertainty. The project LASAGNE (Laminated Sediments in the Magnificent Edisto Inlet, Victoria Land: What processes control their deposition and preservation?), funded by the Italian Program of Antarctic Research (PNRA), proposes a multidisciplinary study that integrates the characteristics of fast ice, water column, and surface sediment, aiming to obtain information on the factors influencing both formation and preservation of laminated sediment in Edisto Inlet. The project integrates also biological data (phytoplankton, microzooplankton and foraminifera) collected in situ, and time series of satellite images of sea ice. The main goal is to provide new insights into the sub-seasonal formation of laminated sediments, offering a backbone for the interpretation of paleoclimatic sedimentary archives. Here, we present the results obtained from a comprehensive dataset collected in Edisto Inlet during the XXXVIII Italian PNRA expedition conducted on board the I/B Laura Bassi in February 2023. Collected data include CTD (Conductivity-Temperature-Depth) profiles with additional parameters (Dissolved Oxygen, fluorescence, turbidity) spatially distributed within and at the entrance of the bay, which was still partially covered by seasonal sea ice at the time of the cruise. Additionally, vessel-mounted and lowered ADCPs (Acoustic Doppler Current Profilers) were collected along transects and at each CTD station, respectively. The synoptic survey conducted during the austral Antarctic summer is used to describe the distribution of water masses and current dynamics in the bay, primarily driven by sea ice formation and melting, as well as atmospheric and tidal forcing. Time series obtained from a mooring deployed 1-year before the cruise (data covers the period February 2022 - February 2024) provide thermohaline variability of the water column even during the winter season, and fluxes and composition of organic debris sinking in the water column through time-series sediment trap samples. Sea ice cores, short sediment cores, and water samples are used to gain insight into the phytoplankton and microzooplankton living in platelet ice in spring and in open water in summer, respectively. Early diagenesis has also been taken into account to define how the original signal is preserved in the sedimentary record

Episodes of psychomotor agitation among medical patients: findings from a longitudinal multicentre study

The management of delirium among older in-hospital patients is a challenge, leading to worse outcomes, including death. Specifically, psychomotor agitation, one of the main characteristics of hyperactive delirium, requires a significant amount of medical and nursing surveillance. However, despite its relevance, to date incidence and/or prevalence of psychomotor agitation, its predictors and outcomes have not been studied among Italian older patients admitted in medical units