I progetti gestiti dai Coordinatori: analisi del loro profilo e successo

Obiettivo. Descrivere la storia dei progetti affidati/ gestiti dai Coordinatori infermieristici ospedalieri. Metodi. \uc8 stato incluso un campione di 56 Coordinatori in ruolo da almeno un anno nei reparti di 13 Ospedali del nord Italia, contattati con criterio di convenienza. Tramite un\u2019intervista strutturata sono stati raccolti dati sui progetti gestiti nel 2009, tipologia, origine (bottom up; top down), il numero di operatori coinvolti e stato del progetto al momento dell\u2019intervista (concluso, incompleto, abbandonato). Risultati. Nel 2009 i Coordinatori hanno gestito 114 progetti, in media 1.8/ciascuno (\ub11.2): 94 (82.5%) erano progetti di miglioramento, 17 (14.9%) di accreditamento, e 3 (2.6%) di ricerca. I progetti avevano coinvolto complessivamente 2.732 persone (73.7% dei team) con un impegno medio di 84 ore ciascuno; 55 (48.2%) progetti erano ancora in corso, 52 (45.6%) conclusi, 5 (4.4%) incompleti (ovvero mancavano di valutazione) mentre 2 (1.8%) erano stati abbandonati. Conclusioni. Gli infermieri sono coinvolti in numerosi progetti nelle aziende sanitarie. La fase pi\uf9 trascurata \ue8 il monitoraggio dei risultati e il loro consolidamento: i progetti assorbono molte risorse e per questo \ue8 fondamentale che siano correttamente gestiti e partano da reali problemi ed esigenze dei pazienti

Health projects managed by Nursing Coordinators: an analysis of contents and degree of success

Aim. To describe the evolution and results of health projects run in hospitals and managed by Nursing Coordinators. Methods. A convenience sample of 13 north Italian hospital, and a sample of 56 Nursing Coordinators with a permanent position from at least 1 year, was contacted. The following information was collected with a structured interview: projects run in 2009, topic, if bottom up or top down, number of staff involved and state (ended, still running, stopped). Results. In 2009 Nursing Coordinators started 114 projects (mean 1.8 +/- 1.2 each): 94 (82.5\%) were improvement projects, 17 (14.9\%) accreditation, and 3 (2.6\%) research. The projects involved 2.732 staff members (73.7\%; average commitment 84 hours); 55 (48.2\%) projects were still running, 52 (45.6\%) completed, for 5 (4.4\%) there was no assessment and 2 (1.8\%) had been stopped. Conclusions. Nurses are regularly involved in several projects. A systematic monitoring of the results obtained and stabilization strategies are scarce. Due to the large number of resources invested, a correct management and the choice of areas relevant for patients' problems and needs are pivotal

Striped Bass Consumption of Blueback Herring during Vernal Riverine Migrations: Does Relaxing Harvest Restrictions on a Predator Help Conserve a Prey Species of Concern?

Anadromous blueback herring Alosa aestivalis are declining throughout much of their range, and fishery closures in some systems have failed to produce population recovery. A potential contributing factor is increased predation pressure from sympatric striped bass Morone saxatilis. We integrated data on the predator–prey interaction between striped bass and blueback herring during vernal migrations into the Connecticut River with data on the in-river striped bass fishery to assess the potential for mitigation of blueback herring mortality via increased striped bass harvest. Striped bass abundance, size structure, diets, and angler catches were assessed within a river segment during spring 2005–2008. We estimate that striped bass consumed 400,000 blueback herring (90% confidence interval = 200,000–800,000) annually in our study area during the spring migration season. The predator–prey interaction between striped bass and blueback herring was predator size dependent. Blueback herring were most commonly found in the stomachs of striped bass between 650 and 999 mm total length. Intermediate size-classes (650–799 mm) made the greatest contribution to population-level consumption. Highly abundant small striped bass (400–549 mm) consumed herring infrequently, yet still made substantial contributions to population-level consumption. Anglers caught 17,000 striped bass in our study area during March–June 2008; only 11% of these fish could be harvested under the current 28-in (710-mm) minimum length limit. Allowing anglers to harvest up to 15,000 sublegal striped bass from a “bonus harvest” slot limit would reduce annual predatory losses of blueback herring by up to 10%. Alternatively, a smaller bonus harvest of legal-sized striped bass could achieve reductions in consumption of up to 7%. The recreational fishery in our study area, however, may not be intense enough to realize such harvest levels