Matteo Danielis - Academia.edu (original) (raw)
Papers by Matteo Danielis
Healthcare, Jul 11, 2023
This article is an open access article distributed under the terms and conditions of the Creative... more This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY
Are intensive care units good places for nursing students’ learning compared to other settings? Findings from an Italian national study
Intensive and Critical Care Nursing, Oct 1, 2021
OBJECTIVE To explore students' perceived quality of the intensive care unit learning environm... more OBJECTIVE To explore students' perceived quality of the intensive care unit learning environment during their rotations; to compare these perceptions with that reported by students attending other settings and to assess correlations between the perceptions regarding the quality of the environment and the competences learned. RESEARCH METHODOLOGY A secondary analysis of data collected by a national cross-sectional study carried out in Italy. A total of 9607 nursing students participated; they ranked the intensive care units' quality, as assessed by the Clinical Learning Quality Evaluation Index; the perceived competences learned were also ranked with a Likert scale; from 0 = None to 3 = Very much. RESULTS A total of 323 (3.5%) participants attended their rotation in an intensive care unit. They perceived the quality of the environment to be significantly higher (n = 2.11 out of 3) than those rotating in non-intensive care unit wards (n = 1.91; p < 0.001). The competences learned by intensive care unit students were significantly higher than that reported by students attending non-intensive care unit wards (n = 2.31 out of 3 vs 2.06 out of 3; p < 0.001). CONCLUSION Intensive care units are highly appreciated by students, both in terms of their quality learning environment and their capacity to promote learning compared to other settings. Therefore, intensive care units should be considered as a place for clinical rotation to promote positive attitudes regarding critical care patients.
Il monitoraggio pressorio continuo della cuffia del tubo endotracheale: best practice in terapia intensiva
Assistenza Infermieristica E Ricerca, 2015
[How hospitals, Intensive Care Units and nursing care of critically ill patients have changed during the Covid-19 outbreak? Results from an exploratory research in some European countries]
Assistenza Infermieristica E Ricerca, Jul 1, 2020
. How hospitals, Intensive Care Units and nursing care of critically ill patients have changed du... more . How hospitals, Intensive Care Units and nursing care of critically ill patients have changed during the COVID-19 outbreak? Results from an exploratory research in some European countries. INTRODUCTION During the Covid-19 outbreak, the health care institutions and the Intensive Care Units (ICUs) have been reorganized with significant consequences at both organizational and clinical levels. AIMS To investigate (1) the organizational changes of hospitals and ICUs in dealing with the Covid-19 outbreak; (2) the characteristics of the nursing care; (3) the most important challenges perceived by nurses in caring for Covid-19 patients. METHODS Cross-sectional online survey, available from May 11th and July 10th, 2020. Participants were nurses caring for Covid-19 patients in European ICUs. RESULTS A total of 62 nurses responded to the survey; average age 37.5 years, 31 (60.8%) were female, mostly from Italy, France and United Kingdom. All hospitals underwent many changes, such as the opening of new dedicated wards and the restriction of family visits. The number of ICU beds doubled during the pandemic (p<0.01), as well as the number of nurses per shift from 10.2 (SD 7.3) before to 17.9 (SD 13.6) during the pandemic (p<0.01). However, changes in the nurse-to-patient ratio were not significant: from 1:1.5 to 1:2 (p=0.05). Among nursing care activities, clinical risk management (n=14, 22.6%), psychological support for patients (n=22, 35.5%) and family's involvement (n=31, 50%) resulted as more challenging; 64.5% of nurses suffered from protective equipment shortages, and 66.1% experienced psychological burden. CONCLUSION These findings can help to reflect on how to better prepare both nurses and health care institutions for other events that may threaten clinical practice and require major and innovative efforts.
Nursing in critical care, Apr 17, 2019
Background: To date, few studies have explored cases of implantable cardioverter defibrillator (I... more Background: To date, few studies have explored cases of implantable cardioverter defibrillator (ICD) shock delivery with the intent of understanding patients' educational and supportive needs. Aims and objectives: To explore patient experiences as lived before, during and after one or more shocks. Design: A descriptive qualitative study carried out between 2016 and 2017. Methods: Semi-structured face-to-face audio-recorded interviews were performed and analysed using a content analysis methodology. Results: A total of 50 patients (average age = 68⋅3 years; largely male = 49; 98%) were interviewed. Four themes emerged: (a) 'Feeling surprised vs. alerted by the changes inside me'; (b) 'Living an intense, mono-dimensional vs. living a multidimensional storm experience', (c) 'Facing the event vs. being supported'; and (d) 'Living a drama vs. being used to it'. Conclusions: Findings suggest that ICD use can trigger negative physical and emotional effects in patients. Moreover, nurses should recognize patients' educational needs according to the stage of adaptation that each patient is experiencing with the aim of tailoring appropriate supportive interventions. Relevance to clinical practice: It is necessary to consider the psychological needs of such patients by integrating these into clinical care at different levels (emergency department, hospital ward, home). Specific structured support aimed at helping patients overcome intense negative experiences is suggested, especially in the first stage of the adaptation process. Nurses should also ensure that appropriate education programmes with adequate follow-up interventions are offered to improve the experience of living with an ICD. In addition, patient-reported outcomes should be routinely collected from patients with an ICD.
Public Health Nursing, May 4, 2021
Objective: To summarize the experience of individuals placed in quarantine during an outbreak. De... more Objective: To summarize the experience of individuals placed in quarantine during an outbreak. Design: A meta-summary and a meta-synthesis based upon a systematic review of qualitative studies. Sample: The Cumulative Index of Nursing and Allied Health Literature, MEDLINE, and Scopus databases were all searched up to April 2020. Measurements: The Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines were followed; then, the methodological quality of the studies included was assessed with the Critical Appraisal Screening Programme tool for qualitative studies. Results: Five studies have been included documenting the experience of 125 adult individuals. A total of 16 codes emerged: in the meta-summary, the most and least frequent codes were "Thinking about quarantine" (80%) and "Emotional roller coaster," "Being alert for any symptom," "Trusting or not?," "Knowing who brought the infection," and "Living in a surreal world" (20%). The codes which emerged were categorized into three main themes which summarized the whole experience of being placed in quarantine: (a) "Being swamped with a thousand emotions"; (b) "Being restrained"; and (c) "Needing to be considered." Conclusions: The experience of quarantine for people is a long journey which can feel chaotic due to uncertainty about the consequences on health, work, and the future. The findings of this study can help nurses in caring for quarantined individuals by enabling them to understand people's need for educational and emotional support. Ensuring the supply of consistent information is also important to increase people's compliance.
Intensive and Critical Care Nursing, Aug 1, 2019
Objectives: To summarise evidence on sleep deprivation and/or poor sleep determinants as experien... more Objectives: To summarise evidence on sleep deprivation and/or poor sleep determinants as experienced by intensive care unit patients. Research methodology/design: A systematic review of qualitative studies identified through PubMed, CINAHL and Scopus databases published in English up to 2018 was performed following PRISMA guidelines. The included studies were critically evaluated by using the Critical Appraisal Screening Programme tool. Study findings were then subjected to a meta-summary and a meta-synthesis. Setting: Intensive Care Units. Main outcome measures: Critically ill patients' experiences of sleep deprivation. Results: Seven qualitative studies were included documenting the experience of 109 adult patients. A total of 12 codes emerged as causes of sleep deprivation and 'feeling fear/concern' was reported with the greatest frequency (71.4%) in the meta-summary. The 12 codes were categorised into three main themes influencing both directly and also interdependently the quality of sleep: (1) Experiencing complex interactions with the environment (nursing activities, frightening or disturbing sounds, acceptable sounds, time and space disorientation); (2) Undergoing intensive emotions and feelings (fear/concerns, state of abandon, inexplicable insomnia, inability to move, inability to talk) and (3) Receiving an appropriate standard of care (physical pain, feeling safe/unsafe). Conclusions: Despite the increased relevance of sleep deprivation and poor sleep quality, only a few studies have been performed to date aimed at identifying the factors involved in the phenomenon according to patient experience. The majority of determinants as identified from patients' perspective are modifiable.
Nurses’ experiences of being recruited and transferred to a new sub‐intensive care unit devoted to COVID‐19 patients
Journal of Nursing Management, Jan 31, 2021
Abstract Aim To describe the experiences of Italian nurses who have been urgently and compulsoril... more Abstract Aim To describe the experiences of Italian nurses who have been urgently and compulsorily allocated to a newly established COVID‐19 sub‐intensive care unit. Background In the context of the COVID‐19 pandemic, no studies have documented the experience of nurses urgently reallocated to a newly created unit. Method A qualitative descriptive study. Twenty‐four nurses working in a sub‐intensive care unit created for COVID‐19 patients participated in four focus groups. Audio‐recorded interviews were verbatim‐transcribed; then, a thematic analysis was performed. Results The experience of nurses was summarized along three lines: (a) ‘becoming a frontline nurse’, (b) ‘living a double‐faced professional experience’ and (c) ‘advancing in nursing practice’. Conclusions Nurses who experienced being mandatorily recruited and urgently reallocated to a COVID‐19 unit lived through a mix of negative feelings in the early stages, a double‐faced situation during the episode and, at the end, the perception of global growth as a person, as a team and as a professional. Implication for nursing management Nurse managers could play a key role in identifying and preparing nurses in advance to mitigate their concerns and their sense of unpreparedness. The value attributed to nursing care should be promoted both during and after the current COVID‐19 pandemic.
Family ENgaggement in Intensive care Environments (FENICE)
Gli esiti dell’Assistenza Infermieristica in Terapia Intensiva: protocollo di ricerca di una scoping review = Nursing Sensitive Outcomes in the Intensive Care Unit: a scoping review protocol
spinti dall’attuale bisogno di costruire organizzazioni sanitarie sempre piu affidabili e orienta... more spinti dall’attuale bisogno di costruire organizzazioni sanitarie sempre piu affidabili e orientate ai bisogni dei pazienti, numerosi sforzi sono stati messi in atto per quantificare e qualificare il contributo degli infermieri in termini di Esiti Sensibili alle cure Infer mieristiche (ESI) in area critica. Sebbene molti studi siano stati condotti in Terapia Intensiva (TI), gli ESI da considerare nella progettazione di nuove ricerche sono limitati e non ben definiti. In questo lavoro, abbiamo delineato un protocollo di ricerca per la conduzione di una scoping review, con l’obiettivo di mappare le caratteristiche degli studi condotti finora sugli ESI in TI, e di formulare ipotesi di ricerca futura.
Nursing reports, Aug 12, 2022
This article is an open access article distributed under the terms and conditions of the Creative... more This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY
Nursing & Health Sciences, Jul 24, 2020
Does missed nursing care influence the use of physical restraint and its duration in acute medica... more Does missed nursing care influence the use of physical restraint and its duration in acute medical patients? Secondary analysis of a longitudinal study
L’utilizzo della contenzione sul paziente critico in Terapia Intensiva: uno sguardo a prevalenza e mezzi impiegati
Scenario, Aug 7, 2019
Gentile Direttore, nonostante il dibattito attuale sull’utilizzo di contenzione fisica per l’ass... more Gentile Direttore, nonostante il dibattito attuale sull’utilizzo di contenzione fisica per l’assistenza al pa- ziente e ai suoi esiti, sembra che l’uso di mezzi coercitivi sia ancora una pratica diffusa nei contesti sanitari, e talora scivoli in una con- dizione di abuso[1].
Depicting clinical nurses' priority perspectives leading to unfinished nursing care: A pilot Q methodology study
Journal of Nursing Management, Jun 10, 2020
AIMS To highlight (a) trends common to all nurses on priorities attributed to interventions, and ... more AIMS To highlight (a) trends common to all nurses on priorities attributed to interventions, and (b) whether there are profiles of nurses working in the same context who prioritize interventions in a similar way. BACKGROUND The underlying prioritization of interventions leading to Unfinished Nursing Care have been minimally investigated. METHODS A 2017 pilot Q methodology study. Full-time nurses, with at least six months of experience in a surgical unit, were involved. Eleven nurses rated the priority given in daily practice (from -3 as the lowest to +3 as the highest) to 35 Q-Sample statements representing nursing care, non-nursing, and organizational interventions. RESULTS Overall, the intervention receiving the lowest priority was 'Providing patient hygiene' while the highest was 'Answering phone calls'. In the by-person factor analysis (total variance =60.79%), three profiles of nurses emerged, (a) 'Patient safety-oriented' (variance =31.66%); (b) 'Nursing task-oriented' (=16.32%) and (c) 'Team processes-oriented' (=12.81%). CONCLUSIONS Three profiles of nurses emerged in the same setting with significant differences both in the statistical order of priorities and in their practical implications. Implications for nursing management Understanding levels of prioritization, that are not only affected by the unit but also by sub-groups of nurses who rank priorities in a similar way, can support Nurse Managers in their role.
European Journal of Cardiovascular Nursing, Jun 22, 2018
Background: The reporting and analysing of data of out-of-hospital cardiac arrests encourages the... more Background: The reporting and analysing of data of out-of-hospital cardiac arrests encourages the quality improvement of the emergency medical services. For this reason, the establishment of a sufficiently large patient database is intended to allow analysis of resuscitation treatments for out-of-hospital cardiac arrests and performances of different emergency medical services. Aims: The aim of this study was to describe the demographics, characteristics, outcomes and determinant factors of survival for patients who suffered an out-of-hospital cardiac arrest. Methods: this was a retrospective study including all out-of-hospital cardiac arrest cases treated by the emergency medical service in the district of Udine (Italy) from 1 January 2010-31 December 2014. Results: A total of 1105 out-of-hospital cardiac arrest patients were attended by the emergency medical service. Of these, 489 (44.2%) underwent cardiopulmonary resuscitation, and return of spontaneous circulation was achieved in 142 patients (29%). There was a male predominance overall, and the main age was 72.6 years (standard deviation 17.9). Cardiopulmonary resuscitation before emergency medical service arrival was performed on 62 cases (44%) in the return of spontaneous circulation group, and on 115 cases (33%) in the no return of spontaneous circulation group (p<0.024). Among the 142 cases of return of spontaneous circulation, 29 (5.9%) survived to hospital discharge. There was a smaller likelihood of return of spontaneous circulation when patients were female (odds ratio 0.61, 0.40-0.93). Patients who had an out-of-hospital cardiac arrest with an initial shockable rhythm (odds ratio 6.33, 3.86-10.39) or an age <60 years (odds ratio 2.91, 1.86-4.57) had a greater likelihood of return of spontaneous circulation. In addition, bystander cardiopulmonary resuscitation (odds ratio 1.56, 1.04-2.33) was associated with an increased chance of return of spontaneous circulation. Conclusion: The incidence of out-of-hospital cardiac arrest and survival rate lies within the known range. A wider database is necessary to achieve a better knowledge of out-of-hospital cardiac arrest and to drive future investments in the healthcare system.
![Research paper thumbnail of [Risk of hemolysis in blood sampling from peripheral intravenous catheter: a literature review]](https://attachments.academia-assets.com/108543420/thumbnails/1.jpg)
](PubMed, Nov 14, 2014
Scope: Hemolysis is one of the main factors that can damage a blood sample. The availability of a... more Scope: Hemolysis is one of the main factors that can damage a blood sample. The availability of an intravenous line already placed pushes many nurses to use this route for blood drawing, even if it is known that this technique is associated with an increased rate of hemolysis compared to blood sampling with a needle. The aim of this work is to identify interventions that reduce risk of hemolysis if the blood sample is from a peripheral IV catheter. Method: A review of relevant literature was conducted through the databases MEDLINE, CINAHL and Cochrane database of Systematic Reviews. Results: Fifteen studies were retrieved. Factors such as the material and the caliber of the IV catheter, the presence of obstructions, the anatomical site, the permanence of the tourniquet, the difficulty of positioning of the catheter, the volume of the tube used and the skills of the operator are decisive in the risk of hemolysis of the sample. In term of cost and preferences of the patient, the technique of blood sampling from a peripheral IV catheter is preferable. Conclusions: Sample collection through intravenous catheters is associated with significant higher risk of hemolysis. Take a sample of blood from a peripheral catheter to carry out an analysis and, at the same time, reduce the risk of hemolysis is possible if some precautions are followed.
International Journal of Environmental Research and Public Health, Sep 9, 2021
This article is an open access article distributed under the terms and conditions of the Creative... more This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY
Critical Incidents Involving the Medical Emergency Team
Dimensions of Critical Care Nursing, May 1, 2021
Background Medical emergency teams (METs), which have been established in several countries, cont... more Background Medical emergency teams (METs), which have been established in several countries, contribute to a reported decrease in deteriorated patients' in-hospital mortality. To date, no data have been published on critical incidents that occurred in METs affecting patients' safety. Objectives The aim of the study was to identify and describe critical incidents that occurred during METs' activities in a large academic Italian hospital. Methods The data, which were stored in the official incident reporting system of the hospital and included all critical incidents that occurred and were reported in anonymous and voluntary forms over a 5-year period, were retrospectively analyzed. Results Overall, 17 critical incidents emerged, during both the team alert stage (n = 10) and its performance (n = 7), with approximately 3 events per year and an incident rate of 1.7 for every 1000 MET interventions. Discussion Medical emergency teams' critical incidents are rare and mainly due to the lack of compliance with protocols and of training and supplies, which require appropriate educational and organizational strategies.
Nursing open, May 3, 2021
During their clinical rotations, nursing students are exposed to real situations, and, alongside ... more During their clinical rotations, nursing students are exposed to real situations, and, alongside good examples of clinical practice, they might also witness examples of poor practice that may threaten patient safety (Ion et al., 2015). Among several experienced nursing practices, missed nursing care (MNC), or any aspect of required nursing care that is omitted (in part or in whole) or delayed (Kalisch, 2006)-also known as care left undone, rationing of nursing care and unfinished nursing care (Bassi et al., 2018)-which leads to negative outcomes (Jones et al., 2019) might be witnessed by nursing students. As documented, students have developed a progressive awareness that MNC exists as an expression of the gap between theory and practice (Greenway et al., 2019). It has also been reported that students have learned that no nurse would intentionally miss nursing care, but sometimes this can happen due to many competitive interventions and priorities (Gibbon & Crane, 2018). In witnessing MNC episodes, students experienced a cognitive dissonance threatening their professional and personal values (Bagnasco et al., 2017) and felt negative emotions (Gibbon & Crane, 2018). At the same time, however, nursing students struggle to express criticism because this can affect their internship evaluations (Ion
JMIR Research Protocols, May 9, 2017
Healthcare, Jul 11, 2023
This article is an open access article distributed under the terms and conditions of the Creative... more This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY
Are intensive care units good places for nursing students’ learning compared to other settings? Findings from an Italian national study
Intensive and Critical Care Nursing, Oct 1, 2021
OBJECTIVE To explore students' perceived quality of the intensive care unit learning environm... more OBJECTIVE To explore students' perceived quality of the intensive care unit learning environment during their rotations; to compare these perceptions with that reported by students attending other settings and to assess correlations between the perceptions regarding the quality of the environment and the competences learned. RESEARCH METHODOLOGY A secondary analysis of data collected by a national cross-sectional study carried out in Italy. A total of 9607 nursing students participated; they ranked the intensive care units' quality, as assessed by the Clinical Learning Quality Evaluation Index; the perceived competences learned were also ranked with a Likert scale; from 0 = None to 3 = Very much. RESULTS A total of 323 (3.5%) participants attended their rotation in an intensive care unit. They perceived the quality of the environment to be significantly higher (n = 2.11 out of 3) than those rotating in non-intensive care unit wards (n = 1.91; p < 0.001). The competences learned by intensive care unit students were significantly higher than that reported by students attending non-intensive care unit wards (n = 2.31 out of 3 vs 2.06 out of 3; p < 0.001). CONCLUSION Intensive care units are highly appreciated by students, both in terms of their quality learning environment and their capacity to promote learning compared to other settings. Therefore, intensive care units should be considered as a place for clinical rotation to promote positive attitudes regarding critical care patients.
Il monitoraggio pressorio continuo della cuffia del tubo endotracheale: best practice in terapia intensiva
Assistenza Infermieristica E Ricerca, 2015
[How hospitals, Intensive Care Units and nursing care of critically ill patients have changed during the Covid-19 outbreak? Results from an exploratory research in some European countries]
Assistenza Infermieristica E Ricerca, Jul 1, 2020
. How hospitals, Intensive Care Units and nursing care of critically ill patients have changed du... more . How hospitals, Intensive Care Units and nursing care of critically ill patients have changed during the COVID-19 outbreak? Results from an exploratory research in some European countries. INTRODUCTION During the Covid-19 outbreak, the health care institutions and the Intensive Care Units (ICUs) have been reorganized with significant consequences at both organizational and clinical levels. AIMS To investigate (1) the organizational changes of hospitals and ICUs in dealing with the Covid-19 outbreak; (2) the characteristics of the nursing care; (3) the most important challenges perceived by nurses in caring for Covid-19 patients. METHODS Cross-sectional online survey, available from May 11th and July 10th, 2020. Participants were nurses caring for Covid-19 patients in European ICUs. RESULTS A total of 62 nurses responded to the survey; average age 37.5 years, 31 (60.8%) were female, mostly from Italy, France and United Kingdom. All hospitals underwent many changes, such as the opening of new dedicated wards and the restriction of family visits. The number of ICU beds doubled during the pandemic (p<0.01), as well as the number of nurses per shift from 10.2 (SD 7.3) before to 17.9 (SD 13.6) during the pandemic (p<0.01). However, changes in the nurse-to-patient ratio were not significant: from 1:1.5 to 1:2 (p=0.05). Among nursing care activities, clinical risk management (n=14, 22.6%), psychological support for patients (n=22, 35.5%) and family's involvement (n=31, 50%) resulted as more challenging; 64.5% of nurses suffered from protective equipment shortages, and 66.1% experienced psychological burden. CONCLUSION These findings can help to reflect on how to better prepare both nurses and health care institutions for other events that may threaten clinical practice and require major and innovative efforts.
Nursing in critical care, Apr 17, 2019
Background: To date, few studies have explored cases of implantable cardioverter defibrillator (I... more Background: To date, few studies have explored cases of implantable cardioverter defibrillator (ICD) shock delivery with the intent of understanding patients' educational and supportive needs. Aims and objectives: To explore patient experiences as lived before, during and after one or more shocks. Design: A descriptive qualitative study carried out between 2016 and 2017. Methods: Semi-structured face-to-face audio-recorded interviews were performed and analysed using a content analysis methodology. Results: A total of 50 patients (average age = 68⋅3 years; largely male = 49; 98%) were interviewed. Four themes emerged: (a) 'Feeling surprised vs. alerted by the changes inside me'; (b) 'Living an intense, mono-dimensional vs. living a multidimensional storm experience', (c) 'Facing the event vs. being supported'; and (d) 'Living a drama vs. being used to it'. Conclusions: Findings suggest that ICD use can trigger negative physical and emotional effects in patients. Moreover, nurses should recognize patients' educational needs according to the stage of adaptation that each patient is experiencing with the aim of tailoring appropriate supportive interventions. Relevance to clinical practice: It is necessary to consider the psychological needs of such patients by integrating these into clinical care at different levels (emergency department, hospital ward, home). Specific structured support aimed at helping patients overcome intense negative experiences is suggested, especially in the first stage of the adaptation process. Nurses should also ensure that appropriate education programmes with adequate follow-up interventions are offered to improve the experience of living with an ICD. In addition, patient-reported outcomes should be routinely collected from patients with an ICD.
Public Health Nursing, May 4, 2021
Objective: To summarize the experience of individuals placed in quarantine during an outbreak. De... more Objective: To summarize the experience of individuals placed in quarantine during an outbreak. Design: A meta-summary and a meta-synthesis based upon a systematic review of qualitative studies. Sample: The Cumulative Index of Nursing and Allied Health Literature, MEDLINE, and Scopus databases were all searched up to April 2020. Measurements: The Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines were followed; then, the methodological quality of the studies included was assessed with the Critical Appraisal Screening Programme tool for qualitative studies. Results: Five studies have been included documenting the experience of 125 adult individuals. A total of 16 codes emerged: in the meta-summary, the most and least frequent codes were "Thinking about quarantine" (80%) and "Emotional roller coaster," "Being alert for any symptom," "Trusting or not?," "Knowing who brought the infection," and "Living in a surreal world" (20%). The codes which emerged were categorized into three main themes which summarized the whole experience of being placed in quarantine: (a) "Being swamped with a thousand emotions"; (b) "Being restrained"; and (c) "Needing to be considered." Conclusions: The experience of quarantine for people is a long journey which can feel chaotic due to uncertainty about the consequences on health, work, and the future. The findings of this study can help nurses in caring for quarantined individuals by enabling them to understand people's need for educational and emotional support. Ensuring the supply of consistent information is also important to increase people's compliance.
Intensive and Critical Care Nursing, Aug 1, 2019
Objectives: To summarise evidence on sleep deprivation and/or poor sleep determinants as experien... more Objectives: To summarise evidence on sleep deprivation and/or poor sleep determinants as experienced by intensive care unit patients. Research methodology/design: A systematic review of qualitative studies identified through PubMed, CINAHL and Scopus databases published in English up to 2018 was performed following PRISMA guidelines. The included studies were critically evaluated by using the Critical Appraisal Screening Programme tool. Study findings were then subjected to a meta-summary and a meta-synthesis. Setting: Intensive Care Units. Main outcome measures: Critically ill patients' experiences of sleep deprivation. Results: Seven qualitative studies were included documenting the experience of 109 adult patients. A total of 12 codes emerged as causes of sleep deprivation and 'feeling fear/concern' was reported with the greatest frequency (71.4%) in the meta-summary. The 12 codes were categorised into three main themes influencing both directly and also interdependently the quality of sleep: (1) Experiencing complex interactions with the environment (nursing activities, frightening or disturbing sounds, acceptable sounds, time and space disorientation); (2) Undergoing intensive emotions and feelings (fear/concerns, state of abandon, inexplicable insomnia, inability to move, inability to talk) and (3) Receiving an appropriate standard of care (physical pain, feeling safe/unsafe). Conclusions: Despite the increased relevance of sleep deprivation and poor sleep quality, only a few studies have been performed to date aimed at identifying the factors involved in the phenomenon according to patient experience. The majority of determinants as identified from patients' perspective are modifiable.
Nurses’ experiences of being recruited and transferred to a new sub‐intensive care unit devoted to COVID‐19 patients
Journal of Nursing Management, Jan 31, 2021
Abstract Aim To describe the experiences of Italian nurses who have been urgently and compulsoril... more Abstract Aim To describe the experiences of Italian nurses who have been urgently and compulsorily allocated to a newly established COVID‐19 sub‐intensive care unit. Background In the context of the COVID‐19 pandemic, no studies have documented the experience of nurses urgently reallocated to a newly created unit. Method A qualitative descriptive study. Twenty‐four nurses working in a sub‐intensive care unit created for COVID‐19 patients participated in four focus groups. Audio‐recorded interviews were verbatim‐transcribed; then, a thematic analysis was performed. Results The experience of nurses was summarized along three lines: (a) ‘becoming a frontline nurse’, (b) ‘living a double‐faced professional experience’ and (c) ‘advancing in nursing practice’. Conclusions Nurses who experienced being mandatorily recruited and urgently reallocated to a COVID‐19 unit lived through a mix of negative feelings in the early stages, a double‐faced situation during the episode and, at the end, the perception of global growth as a person, as a team and as a professional. Implication for nursing management Nurse managers could play a key role in identifying and preparing nurses in advance to mitigate their concerns and their sense of unpreparedness. The value attributed to nursing care should be promoted both during and after the current COVID‐19 pandemic.
Family ENgaggement in Intensive care Environments (FENICE)
Gli esiti dell’Assistenza Infermieristica in Terapia Intensiva: protocollo di ricerca di una scoping review = Nursing Sensitive Outcomes in the Intensive Care Unit: a scoping review protocol
spinti dall’attuale bisogno di costruire organizzazioni sanitarie sempre piu affidabili e orienta... more spinti dall’attuale bisogno di costruire organizzazioni sanitarie sempre piu affidabili e orientate ai bisogni dei pazienti, numerosi sforzi sono stati messi in atto per quantificare e qualificare il contributo degli infermieri in termini di Esiti Sensibili alle cure Infer mieristiche (ESI) in area critica. Sebbene molti studi siano stati condotti in Terapia Intensiva (TI), gli ESI da considerare nella progettazione di nuove ricerche sono limitati e non ben definiti. In questo lavoro, abbiamo delineato un protocollo di ricerca per la conduzione di una scoping review, con l’obiettivo di mappare le caratteristiche degli studi condotti finora sugli ESI in TI, e di formulare ipotesi di ricerca futura.
Nursing reports, Aug 12, 2022
This article is an open access article distributed under the terms and conditions of the Creative... more This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY
Nursing & Health Sciences, Jul 24, 2020
Does missed nursing care influence the use of physical restraint and its duration in acute medica... more Does missed nursing care influence the use of physical restraint and its duration in acute medical patients? Secondary analysis of a longitudinal study
L’utilizzo della contenzione sul paziente critico in Terapia Intensiva: uno sguardo a prevalenza e mezzi impiegati
Scenario, Aug 7, 2019
Gentile Direttore, nonostante il dibattito attuale sull’utilizzo di contenzione fisica per l’ass... more Gentile Direttore, nonostante il dibattito attuale sull’utilizzo di contenzione fisica per l’assistenza al pa- ziente e ai suoi esiti, sembra che l’uso di mezzi coercitivi sia ancora una pratica diffusa nei contesti sanitari, e talora scivoli in una con- dizione di abuso[1].
Depicting clinical nurses' priority perspectives leading to unfinished nursing care: A pilot Q methodology study
Journal of Nursing Management, Jun 10, 2020
AIMS To highlight (a) trends common to all nurses on priorities attributed to interventions, and ... more AIMS To highlight (a) trends common to all nurses on priorities attributed to interventions, and (b) whether there are profiles of nurses working in the same context who prioritize interventions in a similar way. BACKGROUND The underlying prioritization of interventions leading to Unfinished Nursing Care have been minimally investigated. METHODS A 2017 pilot Q methodology study. Full-time nurses, with at least six months of experience in a surgical unit, were involved. Eleven nurses rated the priority given in daily practice (from -3 as the lowest to +3 as the highest) to 35 Q-Sample statements representing nursing care, non-nursing, and organizational interventions. RESULTS Overall, the intervention receiving the lowest priority was 'Providing patient hygiene' while the highest was 'Answering phone calls'. In the by-person factor analysis (total variance =60.79%), three profiles of nurses emerged, (a) 'Patient safety-oriented' (variance =31.66%); (b) 'Nursing task-oriented' (=16.32%) and (c) 'Team processes-oriented' (=12.81%). CONCLUSIONS Three profiles of nurses emerged in the same setting with significant differences both in the statistical order of priorities and in their practical implications. Implications for nursing management Understanding levels of prioritization, that are not only affected by the unit but also by sub-groups of nurses who rank priorities in a similar way, can support Nurse Managers in their role.
European Journal of Cardiovascular Nursing, Jun 22, 2018
Background: The reporting and analysing of data of out-of-hospital cardiac arrests encourages the... more Background: The reporting and analysing of data of out-of-hospital cardiac arrests encourages the quality improvement of the emergency medical services. For this reason, the establishment of a sufficiently large patient database is intended to allow analysis of resuscitation treatments for out-of-hospital cardiac arrests and performances of different emergency medical services. Aims: The aim of this study was to describe the demographics, characteristics, outcomes and determinant factors of survival for patients who suffered an out-of-hospital cardiac arrest. Methods: this was a retrospective study including all out-of-hospital cardiac arrest cases treated by the emergency medical service in the district of Udine (Italy) from 1 January 2010-31 December 2014. Results: A total of 1105 out-of-hospital cardiac arrest patients were attended by the emergency medical service. Of these, 489 (44.2%) underwent cardiopulmonary resuscitation, and return of spontaneous circulation was achieved in 142 patients (29%). There was a male predominance overall, and the main age was 72.6 years (standard deviation 17.9). Cardiopulmonary resuscitation before emergency medical service arrival was performed on 62 cases (44%) in the return of spontaneous circulation group, and on 115 cases (33%) in the no return of spontaneous circulation group (p<0.024). Among the 142 cases of return of spontaneous circulation, 29 (5.9%) survived to hospital discharge. There was a smaller likelihood of return of spontaneous circulation when patients were female (odds ratio 0.61, 0.40-0.93). Patients who had an out-of-hospital cardiac arrest with an initial shockable rhythm (odds ratio 6.33, 3.86-10.39) or an age <60 years (odds ratio 2.91, 1.86-4.57) had a greater likelihood of return of spontaneous circulation. In addition, bystander cardiopulmonary resuscitation (odds ratio 1.56, 1.04-2.33) was associated with an increased chance of return of spontaneous circulation. Conclusion: The incidence of out-of-hospital cardiac arrest and survival rate lies within the known range. A wider database is necessary to achieve a better knowledge of out-of-hospital cardiac arrest and to drive future investments in the healthcare system.
PubMed, Nov 14, 2014
Scope: Hemolysis is one of the main factors that can damage a blood sample. The availability of a... more Scope: Hemolysis is one of the main factors that can damage a blood sample. The availability of an intravenous line already placed pushes many nurses to use this route for blood drawing, even if it is known that this technique is associated with an increased rate of hemolysis compared to blood sampling with a needle. The aim of this work is to identify interventions that reduce risk of hemolysis if the blood sample is from a peripheral IV catheter. Method: A review of relevant literature was conducted through the databases MEDLINE, CINAHL and Cochrane database of Systematic Reviews. Results: Fifteen studies were retrieved. Factors such as the material and the caliber of the IV catheter, the presence of obstructions, the anatomical site, the permanence of the tourniquet, the difficulty of positioning of the catheter, the volume of the tube used and the skills of the operator are decisive in the risk of hemolysis of the sample. In term of cost and preferences of the patient, the technique of blood sampling from a peripheral IV catheter is preferable. Conclusions: Sample collection through intravenous catheters is associated with significant higher risk of hemolysis. Take a sample of blood from a peripheral catheter to carry out an analysis and, at the same time, reduce the risk of hemolysis is possible if some precautions are followed.
International Journal of Environmental Research and Public Health, Sep 9, 2021
This article is an open access article distributed under the terms and conditions of the Creative... more This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY
Critical Incidents Involving the Medical Emergency Team
Dimensions of Critical Care Nursing, May 1, 2021
Background Medical emergency teams (METs), which have been established in several countries, cont... more Background Medical emergency teams (METs), which have been established in several countries, contribute to a reported decrease in deteriorated patients' in-hospital mortality. To date, no data have been published on critical incidents that occurred in METs affecting patients' safety. Objectives The aim of the study was to identify and describe critical incidents that occurred during METs' activities in a large academic Italian hospital. Methods The data, which were stored in the official incident reporting system of the hospital and included all critical incidents that occurred and were reported in anonymous and voluntary forms over a 5-year period, were retrospectively analyzed. Results Overall, 17 critical incidents emerged, during both the team alert stage (n = 10) and its performance (n = 7), with approximately 3 events per year and an incident rate of 1.7 for every 1000 MET interventions. Discussion Medical emergency teams' critical incidents are rare and mainly due to the lack of compliance with protocols and of training and supplies, which require appropriate educational and organizational strategies.
Nursing open, May 3, 2021
During their clinical rotations, nursing students are exposed to real situations, and, alongside ... more During their clinical rotations, nursing students are exposed to real situations, and, alongside good examples of clinical practice, they might also witness examples of poor practice that may threaten patient safety (Ion et al., 2015). Among several experienced nursing practices, missed nursing care (MNC), or any aspect of required nursing care that is omitted (in part or in whole) or delayed (Kalisch, 2006)-also known as care left undone, rationing of nursing care and unfinished nursing care (Bassi et al., 2018)-which leads to negative outcomes (Jones et al., 2019) might be witnessed by nursing students. As documented, students have developed a progressive awareness that MNC exists as an expression of the gap between theory and practice (Greenway et al., 2019). It has also been reported that students have learned that no nurse would intentionally miss nursing care, but sometimes this can happen due to many competitive interventions and priorities (Gibbon & Crane, 2018). In witnessing MNC episodes, students experienced a cognitive dissonance threatening their professional and personal values (Bagnasco et al., 2017) and felt negative emotions (Gibbon & Crane, 2018). At the same time, however, nursing students struggle to express criticism because this can affect their internship evaluations (Ion
JMIR Research Protocols, May 9, 2017