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Biomedical subjects

A Palese

Publications and source records attributed to A Palese.

9 recordsLinked to original sources
PubMedDate not supplied

[Educational packages: adult education about basic and advanced methods of life support measures. Analysis of some educational systems].

Educational courses are increasingly being offered in Italy to health care workers who want to acquire or improve their basic (BLS) or advanced (ACLS) resuscitation skills. Since 1994 the Italian Resuscitation Council planned and implemented educational BLS and ACLS packages. Their content, methodology and implementation strategies was analysed on the basis of the educational and informational materials offered to the learners and instructors. The duration of the courses varies (never exceeding the three days): the performance of the participants is evaluated and certified. The courses are open to critical care doctors, nurses, technicians and in some cases to the lay people. They are based on the adult learning principles and the learning strategies are both formal and interactive. The course instructors are doctors and nurses specifically trained after a successful result (with optimal performance) of a BLS and ACLS course. At least 50,000 people attended to a BLS course and a lower number (1270) to an ACLS course. To date, the number of recognised BLS instructors is 229 and 79 for the ACLS courses. The recommended costs are around 120 US $ for a BLS course and 400 US $ for an ACLS course. Although the debate on the effectiveness of such a training on the survival of people treated for a cardiac arrest is still ongoing, the learning packages show the feasibility of a multi-professional approach to a systematic training in a critical health area.

Adult↗
PubMedDate not supplied

[PARI-ETLD (Therapeutic Approach and Nursing Research -- Epidemiology and Treatment of Decubitus Lesions].

Pressure sores are one of the preferred nursing research topics but, in spite of the large number of studies, most questions related to the prevention and treatment of pressure sores remain unanswered. Well designed clinical trials and on sufficiently large samples are very rare and most treatments are routinely used even without a reliable evidence of their efficacy. The PARI-ETLD trial is the occasion for: a. evaluating the efficacy of the Fitostimoline, in the ri-epitelization of superficial pressure sores; b. starting a clinical trial conducted by nurses; c. building a multicentre nursing network for collecting data on the epidemiology of pressure sores and for evaluating the effectiveness of caring strategies and treatments. The protocol presented, with the data collection forms, is an example of feasibility of clinical trials in the nursing practice and offers examples of ways for overcoming common problems related to the implementation of clinical trials in everyday practice.

Clinical Trials as Topic↗
PubMedDate not supplied

[Strategies to face the shortage of nurses in 11 health settings: descriptive analysis].

A survey on the perceived severity and criteria for defining the nursing shortage was made by interviewing with a semistructured questionnaire 11 nurses responsible for nursing services of 11 Italian hospitals and districts. The questionnaire was administered by interview. Ten hospitals suffer a medium-severe nursing shortage. The main solutions adopted to overcome the nursing shortage are: the closure of wards, the merge of wards, with comparable patients; the employment of support personnel; the mobility of nursing personnel, whereby nurses change wards and are move where they are most needed; modification of shifts. Interestingly, criteria for defining the nursing shortage vary from hospital to hospital, but they are not based on objective data (c.g. number of "missing" nurses). The payment of overtime hours is also different, ranging from 20 to 35 dollars/hour. Since the shortage of nurses will last for the next 5-8 years, a study of criteria for assessing it, of solutions adopted and of their effectiveness is pivotal for gaining a better understanding of the problem.

Health Care Surveys↗
PubMedDate not supplied

[Shortage in nursing].

Explore the source record for details and available documents.

Health Workforce↗
PubMedDate not supplied

[Management of turnover of nursing personnel: descriptive study].

The strategies of management of the turnover of nursing personnel have been explored in 5 hospitals of the Veneto region. A questionnaire distributed to 200 permanent staff nurses moved for different reasons to another ward during the year 1998, was returned by up to the 62.5% of the recipients. Sixty nurses changed the ward at their request, 18 had to move only for work reasons and 47 for a combination of both reasons. The main reasons (50%) for moving nurses for work reasons (18/125) is the lack of personnel or the restructuration or closure of wards with reduction of the number of beds (50% of the moves). Professional development and acquisition of new competences and skills is the main reason (42%) for nurses who ask to change ward at their request. The reasons for changing the ward are obscure for 1/3 of nurses moved for work reasons. Overall mobility is valued as opportunity for professional development, but it is suggested it should be mainly at personnel's request and after an evaluation of the curriculum.

Adult↗
PubMedDate not supplied

[Compliance with handwashing in health care settings].

UNLABELLED: Many studies report low compliance with handwashing in health care settings, even if it is considered an important factor to reduce cross transmission. METHODS: Observational study in University Hospital with external observers. RESULTS: The observers recorded 1262 opportunities for handwashing among 49 nurses. The average of the opportunities was 8,8 handwashing/hour (d.s. +/- 5.05, range 0 divided by 23). The compliance was 19,3%. Compliance was higher in intensive care unit (25,6 %) than in medical ward (18,1 %) and surgical ward (13,9 %). There were no difference between males (19 %) and females (19.4%). Compliance with handwashing was significantly better in post procedure (34%) than in pre procedure (10.6%) and was worst when the workload was higher. CONCLUSIONS: The study confirms the low adhesion to handwashing international recommendations and suggests to adopt "ad hoc" educational programs and suitable structural/operative conditions.

Chi-Square Distribution↗