Byrnesummers0924
A cultural meta-analysis for post Covid-19 times. The professional and human experience of the still ongoing emergency which has transformed the structure itself of the lives of world countries has generated a very large and fragmented spectrum of mainly descriptive and narrative publications (from inside the professions involved, as well as on the impact of the pandemia on the society) which defy any tentative of comprehensive understanding. This contribution proposes the results of an unusual, possibly provocative, metanalytic approach adapted to assess the existence, if any, of general evidences which could be assumed as a take home message of the heterogeneous, highly rich, mainly qualitative materials which have been produced so far on the care aspects of the pandemia as well as on its more general significance for and impact on the society. The predefined biases and limitations of this approach (defined as cultural, i.e.which tries to provide an overall picture beyond the details) are declared to introduce and justify the outcome results of the exercise a series of keywords is presented and commented as a guide into the future of a nursing profession ready and willing to have a more autonomous and innovative professional identity in the health care scenario and in the society.. We were told "everything will be all right", but we were afraid.
During the pandemic, the elderly were an at-risk group.
To explore how older people >65 years lived through the pandemic.
Questionnaire available online for all members of the Italian Pensioners' Union of the CGL Lombardy, which explored the state of health, activities carried out, contacts with the doctor, psychological conditions.
1480 people responded, in good health and with a good level of schooling. Half did not change their habits during the pandemic. For 2/3 the psychological well-being did not change, with a substantially positive vision of the future, even if 64% reported having had stress symptoms. The aspect that was missing the most, as expected, was not being able to see their families. A very common feeling (60% of respondents) was a sense of isolation and abandonment.
As shown in other papers, older people do not seem particularly at risk of psychological problems during the pandemic.
As shown in other papers, older people do not seem particularly at risk of psychological problems during the pandemic.. SMIFH2 order Decision Making process and missed nursing care findings from a scoping review.
Several aspects of the Missed Care (MNC) model have been studied (conceptual aspects, causes, process, measurement instruments, outcomes) however, the decision-making processes influencing the MNC have not yet been settled into an accessible guide.
To describe (a) the terms most used in the literature to define the decision-making processes influencing the MNC, (b) the conceptual models, as well as (c) the available tools.
A scoping review was carried out in March-August 2020 by consulting the following databases Cochrane Library, Pubmed, Scopus, CINAHL Complete, PsycINFO. Of the 385 retrieved studies, 92 abstracts were evaluated and 36 studies included.
Four terms are used to address the process of nursing intervention delivered on time, postponed or missed (a) Priority setting; (b) Prioritisation of clinical care; (c) Implicit rationing; and (d) Time scarcity. While the lack of time expresses the common denominator, a substantial difference emerges between priority setting and rationing the first establishes a preferential sequence of activities with the result of delaying those less significant; the second leads to unfinished nursing care. Decision models to date have not considered the processes influencing MNC; therefore, the available measurement instruments are also of little use.
The decision-making processes underlying MNC have not yet been well understood, and described using different terms. Reliable instruments to measure them are still lacking.
The decision-making processes underlying MNC have not yet been well understood, and described using different terms. Reliable instruments to measure them are still lacking.. Non pharmacologic interventions for pain associated to venipuncture in children a literature review.
Venipuncture is one of the most common painful procedures performed on children. Pain prevention and control are essential in childhood, because the earlier is the nociceptive experience, the more it affects the response to subsequent painful events.
To analyse the literature on non-pharmacological methods of pain management in children undergoing venipuncture.
The review was carried out between May and July 2019 by consulting the PubMed and Cochrane Database, combining Mesh terms and free text. The references reported in the articles found in the first part of the research were also analyzed, to identify further relevant studies.
A total of 20 articles were included in this review (8 randomized clinical trials, 10 systematic reviews, 1 meta-analysis and 1 pilot study), on a total population of almost 20,086 children aged 1-18 years. The settings considered by the studies were pediatric wards, pediatric outpatient, and Emergency Department. Non-pharmacological interventions can be classified in 4 categories supportive or environmental therapies; physical therapies; cognitive-behavioral therapies; and non-nutritive suction for newborns and infants. The strength of evidence ranged from high to low or extremely low.
Most non-pharmacological methods are simple, cheap, easily acquired, and do not need excessive application time. They allow pain control and support the comfort and cooperation of children undergoing venipuncture, alone or combined to pharmacological treatment.
Most non-pharmacological methods are simple, cheap, easily acquired, and do not need excessive application time. They allow pain control and support the comfort and cooperation of children undergoing venipuncture, alone or combined to pharmacological treatment.. The development of a hospital service for planning and organizing the care of cancer patients in the staging phase the example of Novara hospital.
Any disease, but specifically cancer, creates anxiety and patients enter a new path where they need to be accompanied.
To describe the organisation of a reception and service centre (CAS) for cancer patients at the Novara Hospital.
The Piedmont Oncology Network has set up the CAS, but each hospital, following common principles, has organised its own CAS, based on the collaborations and resources made available.
Since 2015 the following services have been activated in the CAS of Novara a nursing assessment chart (available in the computerised patient documentation system); the regular monitoring of cancer patients that access to the hospital and the times needed to carry out examinations and to organize exams and visits; a nursing clinic for the insertion of central venous catheters; a counter under the responsibility of the local patronages for support in bureaucratic procedures; an app has been created to make information available and allow patients direct contact with the service.
