The use of electronical devices and relative levels of Nomophobia within a group of Italian nurses: an Observational Study

Background: In healthcare, the use of smartphones and other electronical devices are becoming important tools among health professionals. Thanks to these devices, there are new methods of assistance. However, if used incorrectly, they may cause distraction during clinical practice. The excessive use of such devices has generated a new form of addiction in the workplace named nomophobia, a phobia still little explored in literature. We reported an analysis of the frequency and method of use of these electronical devices. The primary aim of the research was to investigate the level of dependence on electronic devices (nomophobia) and the digital habits of nurses. Secondary aim of the study was to evaluate the possible association between nomophobia and distraction in the workplace. Methods: A transversal multicenter study was conducted on a sample of Italian nurses, using the Nurses’ Use of Personal Communication Devices Questionnaire and the Nomophobia Questionnaire (NMP-Q). Results: 34.1% of the sample (n=184) declared that they used smartphones and other electronical devices a moderately during working hours. 20.2 % (n=109) used them frequently and 8.9% (n=48) uses devices during working hours constantly. However, 44.0% (n=222) never uses health apps for patient medical assistance, the 32.9% (n=166) never uses learning apps or apps for professional development. 16.6% (n=87) admit that the use of these devices negatively affected their working performance (mean 80.5; SD 40.1). Study participants showed moderated levels of nomophobia (media=50.34; SD=29.0). Conclusion: The results of the study demonstrate the scares use of such electronical tools to implement adequate care among Italian nurses. Nomophobia can have significant impact on the risk of making mistakes. Future studies should examine not only nurses but also other help professionals and support staff, to bring out an underestimated dimension

The Eye-tracking technology in the healthcare settings: an observational, cross sectional, multicenter study

Successful communication is considered an essential component of the quality of care and safety of the patient with Amyotrophic Lateral Sclerosis (ALS). Recent technology has provided alternative communication systems, including the Eye-tracking technology, which enables interaction with others in the more advanced stages of the disease. The aim of the study is to investigate patients' difficulties in using the eye tracker, their problem in obtaining the device and the clinical complications resulting from it. A "snowball sampling" method study was conducted from April to September 2020 until sample saturation. The results of the study demonstrate the countless difficulties in obtaining the eye- tracker, with long waiting times, which are not followed by adequate training in its correct use. Among the consequences linked to the use of this device, the most frequent were nystagmus (8.8%), onset of eyelid ptosis (16.2%) and the appearance of increased fatigue. 56.1% of the sample used the eye tracker to surf the Internet whereas 9.1% used it to write e-mails. Overall, the use of the eye tracker led to an improvement in overall quality of life (24%). In Conclusions, the Eye-tracking technology is a valuable device for Alternative Augmentative Communication (AAC) in ALS patients and can be used with good performance, therefore the need for information, training and improvement on this topic is essentia

Effectiveness of nursing intervention in short-term hospitalization for patients suffered from borderline personality disorder and self-harm. A narrative literature review

Introduction: Personality disorder sufferers with severe self-harm and experience long psychiatric hospitalizations have complex mental health conditions and are at risk of suicide. When the symptoms of emotional instability are combined with self-harm, the resulting crisis often becomes difficult for patients and caregivers to manage. To improve care during these crises, the Dutch Multidisciplinary Guideline for Personality Disorders designates “brief admission” (BA) hospitalizations as an ameliorative intervention. Objective: To describe the effectiveness of short hospitalization nursing care for people with borderline personality disorder and who practice self-harm, compared to ordinary hospitalization. Methods: A narrative review was conducted through the Embase and CINAHL databases, the selected articles had to answer the following research questions: “what are the observable benefits of short-term hospitalization on patients with borderline personality disorder?”; and “what are the benefits compared to short hospitalization operators?”. Results: Seven studies were selected. The results show that BA was perceived as an effective nursing intervention, which promoted the patient’s self-determination and self-care. This helped increase confidence in daily life and allowed people to maintain their daily routines, work, and relationships by decreasing long hospitalizations and increasing patient compliance. There has also been benefit from the staff, who report an improvement in work quality. Conclusions: This type of hospitalization has developed in Northern European states. BA has never been tested in the Italian healthcare sector. It would be appropriate and desirable, given the results obtained, to experiment with this procedure also in Italy to obtain specific feedback regarding the relationship of short-term hospitalization with our National Health Service. It is hoped that this research can be a stimulus in this sense

Measurements of the Performance of the RSVP Protocol

RSVP (Resource ReSerVation Protocol) is an Internet protocol designed to allow applications reserving network resources. RSVP is used in the QoS context but also as a general purpose signaling control in the MPLS and Traffic Engineering areas. The acceptance of the protocol has been slowed mainly by concerns about its overhead and scalability. This paper describes then the most meaningful techniques standardized by the Internet Engineering Task Force (IETF) to overcome this problem, that we implemented extending a widespread daemon, and it analyses the results of experimental measurements, comparing them with those of the original RSVP

Exploring Internet Addiction in Italian Nurses during the COVID-19 Outbreak

(1) Background: Nomophobia is considered a digital and virtual contemporary society disorder and refers to discomfort, anxiety, nervousness, or distress caused by being out of contact with a cell phone or computer. The present study had a twofold objective: to evaluate the expert use of the Internet among Italian nurses by correlating it with socio-demographic characteristics, such as: sex, years of work experience, professional role, and level of nursing education; and to assess a possible increase in the levels of nomophobia among Italian nurses during COVID-19 compared to the pre-pandemic period. (2) Methods: An observational, cross-sectional, multicenter study was conducted from April to September 2020, such as during the First Wave of the COVID-19 outbreak. (3) Results: A total of 502 nurses were enrolled in the present study. Significantly differences were reported in the IAT (Internet Addiction Test) levels according to socio-demographic characteristics since males reported significantly higher IAT levels than females (p p = 0.031) than their younger colleagues. More nursing managers and coordinators reported significantly higher IAT levels than registered nurses (p p = 0.003). Additionally, significant differences were reported according to all the socio-demographic characteristics considered and IAT subdimensions, namely: Salience, Excessive Use, Neglect Work, Anticipation, and Lack of Control. (4) Conclusions: The study revealed higher levels of Internet addiction in men than in women during the COVID-19 pandemic period, as well as a significant correlation between nomophobia, years of work experience, and the role of nursing coordinator/manager

Exploring Internet Addiction in Italian Nurses during the COVID-19 Outbreak

(1) Background: Nomophobia is considered a digital and virtual contemporary society disorder and refers to discomfort, anxiety, nervousness, or distress caused by being out of contact with a cell phone or computer. The present study had a twofold objective: to evaluate the expert use of the Internet among Italian nurses by correlating it with socio-demographic characteristics, such as: sex, years of work experience, professional role, and level of nursing education; and to assess a possible increase in the levels of nomophobia among Italian nurses during COVID-19 compared to the pre-pandemic period. (2) Methods: An observational, cross-sectional, multicenter study was conducted from April to September 2020, such as during the First Wave of the COVID-19 outbreak. (3) Results: A total of 502 nurses were enrolled in the present study. Significantly differences were reported in the IAT (Internet Addiction Test) levels according to socio-demographic characteristics since males reported significantly higher IAT levels than females (p < 0.001). Nurses who worked more than 6 years reported significantly higher IAT levels (p = 0.031) than their younger colleagues. More nursing managers and coordinators reported significantly higher IAT levels than registered nurses (p < 0.001). This trend was repeated by considering the nursing educational level, as nurses who recorded more years of nursing educational level reported significantly higher IAT levels than the others (p = 0.003). Additionally, significant differences were reported according to all the socio-demographic characteristics considered and IAT subdimensions, namely: Salience, Excessive Use, Neglect Work, Anticipation, and Lack of Control. (4) Conclusions: The study revealed higher levels of Internet addiction in men than in women during the COVID-19 pandemic period, as well as a significant correlation between nomophobia, years of work experience, and the role of nursing coordinator/manager